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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002433
Report Date: 12/13/2019
Date Signed: 12/13/2019 10:43:53 AM

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:WU YEE CHILDREN'S SERVICES- BAYVIEW CDCFACILITY NUMBER:
384002433
ADMINISTRATOR:HARRIS-TOBIAS, BONNIEFACILITY TYPE:
850
ADDRESS:1601 LANE STREETTELEPHONE:
(415) 655-9567
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY:32CENSUS: 15DATE:
12/13/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Bonnie Harris-TobiasTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Rodriguez conducted an unannounced case management inspection today and met with director Bonnie Harris-Tobias. The purpose of today's inspection was explained. On 11/7/19 this facility self reported an incident where a child placed a plastic toy in their mouth and began choking on the plastic piece. Staff were present at the time of the incident and immediately attended to the child. The staff performed the Heimlich Maneuver and got the piece of plastic out of the child's mouth. The staff also called paramedics and the child was transferred to the hospital to be checked out. Staff notified the child's parents of the incident who met staff and child at the hospital. Facility notified the licensing office by phone and by written report of the incident.

Facility director informed LPA that the plastic piece that the child choked on was a plastic grape used for playing and counting. Director stated that all similar and liked items to the plastic grape have been removed from this center along with all other Wu Yee daycare centers as well.

Based on the interview conducted with the director and written report sent into the licensing office, it is found there is no evidence that a violation of the regulations occurred.

A copy of this report was reviewed and left with staff. Notice of site visit was observed to be posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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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