<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001393
Report Date: 10/23/2020
Date Signed: 10/23/2020 02:26:16 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KAI MING HEAD START - SUNSET CENTERFACILITY NUMBER:
384001393
ADMINISTRATOR:VARGAS, EDNAFACILITY TYPE:
850
ADDRESS:2800 TARAVAL STREETTELEPHONE:
(415) 759-8980
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:45CENSUS: 0DATE:
10/23/2020
TYPE OF VISIT:Case Management - IncidentANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Susanna LeungTIME COMPLETED:
02:45 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
Due to the COVID-19 health crisis and state, local county orders, a tele-inspection was conducted. Licensing Program Analyst (LPA) Van met with the Facilities Manager, Susanna Leung, for a case management inspection via Facetime. The purpose of the tele-inspection is to inspect the newly repaired office room that was damaged by a fire, which was self-reported to the Department by the facility on August 28, 2020. Per the Facilities Manager, the fire was damaged only in the office area, and all classrooms were unaffected.

Through FaceTime video chat, LPA and the Facilities Manager inspected the newly repaired office area for Health and Safety Hazards. According to the Facilities Manager, the following items were repaired or replaced in the office area; the roof, window, carpets, drywalls, ceiling, and outlets cover. In today’s inspection, LPA observed no other potential hazards; the office appears clean and orderly. The Department has received the Approved Fire Clearance from the San Francisco Fire Department on October 23, 2020.

It was determined that the facility is safe and can resume operation as of today. The Facilities Manager stated that the facility is planning to resume operation on Monday, October 26.

A copy of this report will be emailed to the Facilities Manager. This report must be available in the facility for public review. The facilities Manager was informed to contact the San Bruno Regional for any additional question at 650-266-8800 M-F, 8 AM-5 PM. For Rules and Regulations, visit the Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1