384001158-12-19-2023-05-CC-CMOK-CYP2NG-20231219163243

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001158
Report Date: 12/19/2023
Date Signed: 12/19/2023 04:33:14 PM

Document Has Been Signed on 12/19/2023 04:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	CHEN, WANZHEN		FACILITY NUMBER:	384001158
ADMINISTRATOR:	CHEN, WANZHEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 831-6534
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94121
CAPACITY:	14	CENSUS: 5	DATE:	12/19/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	WanZhen Chen		TIME COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, WanZhen Chen, and a helper. The licensee was not at home when LPA arrived. Per a helper, the licensee had the appointment. The helper called and notified the licensee LPA showed up for the annual inspection. The licensee arrived home within an hour. All adults have fingerprint clearance. There were 5 children including 2 infants napping with a helper upon LPA's arrival. The facility is also called "Angel Family Day Care" and the operation hours are Monday and Friday from 8 AM to 5:30 PM. The licensee rents and lives in this 2 stories single-family house with her husband, her daughters (Minor), & her mother. The daycare areas were the entire lower level and backyard. The off-limit area was the entire upper level. LPA toured and inspected the facility for health and safety hazards. A gate was installed at the stairway to prevent children's access to the upper level. The facility was clean and in order, the temperature and lighting were adequate and toxins and harmful items were locked or made inaccessible to children. All electrical outlets and sharp corners were covered. The fireplace was blocked. There was a fully charged 2A10BC fire extinguisher, a working telephone, a working 2in1 smoke and carbon monoxide detector, and first aid supplies available in the daycare area. Per the licensee, there were no guns, no weapons, and no pets in the house. All the lower kitchen cabinets and drawers were either latched or free of harmful objects. Cots and cribs were used for napping. High chairs were available for feeding only. There were plenty of age-appropriate toys, books, learning materials, and children’s furniture available in the daycare. A gate was installed at the kitchen entrance to prevent children's access. The children’s bathroom was clean and free of harmful objects. The outdoor play yard was completely fenced. Soft cushioning was installed on the entire ground to prevent injury. There were plenty of age-appropriate outdoor toys, playhouses, play structures, and ride-on toys available for children. Gates were installed at the outdoor stairway. The facility provides breakfast, AM/PM snacks, and lunch to the children. The licensee and her helper had current CPR/First Aid certificates that will expire on 7/14/24 & 6/24/25. The licensee had current Child Abuse Mandated Reporter Training that will expire on 6/2025. Per the licensee, there were no children on special medication. LPA reviewed the children's files and obtained a copy of the current children's roster during the inspection. The facility has conducted the fire drill at least 2 times a year and logged. The facility had current Child Care Insurance that will expire in 5/2024. continues on LIC809C

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHEN, WANZHEN	FACILITY NUMBER: 384001158
	VISIT DATE: 12/19/2023

NARRATIVE

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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Safe Sleep - LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHEN, WANZHEN	FACILITY NUMBER: 384001158
	VISIT DATE: 12/19/2023

NARRATIVE

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MyChildCarePlan.org – Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Megan’s Law - During the exit interview, the LICENSEE ****, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, WanZhen Chen.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

LIC809 (FAS) - (06/04)

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