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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001395
Report Date: 04/08/2022
Date Signed: 04/08/2022 01:47:31 PM


Document Has Been Signed on 04/08/2022 01:47 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:SUNRISE CHRISTIAN PRESCHOOLFACILITY NUMBER:
384001395
ADMINISTRATOR:CONNIE WANFACILITY TYPE:
850
ADDRESS:2235 JUDAH STREETTELEPHONE:
(415) 682-9490
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:22CENSUS: 7DATE:
04/08/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Connie WanTIME COMPLETED:
02:00 PM
NARRATIVE
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On April 08, 20202, at approximately 1:00pm, Licensing Program Analyst (LPA) Winnie Ly conducted an Unannounced Plan of Correction (POC) Visit and met with facility Director Connie Wan. Purpose of visit was explained. Present during the visit were Director and a staff caring for 7 children.

The Plan of Correction (POC) Visit is regarding Type B deficiencies cited during the Required 1-Year Visit on 03/24/2022, Facility Director and staff had expired CPR/First Aid and expired Child Abuse Mandated Reporter Training.

During today's POC visit, Director showed proof of Director and staff have completed Child Abuse Mandated Reporter Training and have registered to renew CPR/First Aid training. LPA cleared the above deficiencies by visit and issued a letter of clearance to facility Director.

No deficiencies were issued today under Title 22 Division 12 of the Ca. Code of Regulations. A copy of this report and appeal rights were discussed and will be emailed to Director whose signature on this form confirm have read the reports. Notice of Site Visit will also be emailed. Notice to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2022
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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