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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
384002482
Report Date:
05/01/2023
Date Signed:
05/01/2023 04:27:48 PM
Document Has Been Signed on
05/01/2023 04:27 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:
JIANG, WAN RU
FACILITY NUMBER:
384002482
ADMINISTRATOR:
JIANG, WAN RU
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(415) 672-7362
CITY:
SAN FRANCISCO
STATE:
CA
ZIP CODE:
94112
CAPACITY:
14
CENSUS:
6
DATE:
05/01/2023
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
03:30 PM
MET WITH:
Wan Ru Jiang
TIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Yee conducted a case management visit today. The licensee requested to add her kitchen to do a cooking project with the children. LPA inspected the kitchen and the kitchen needs to be clean and orderly. The off-limit areas need to be gated to prevent access. LPA will conduct another visit when the licensee is ready.
SUPERVISOR'S NAME:
Ali Zebila
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
Jennifer Yee
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
05/01/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/01/2023
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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