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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002512
Report Date: 05/09/2023
Date Signed: 05/09/2023 04:25:19 PM


Document Has Been Signed on 05/09/2023 04:25 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:WU YEE CHILDREN'S SERVICES-CADILLAC CENTER (PS)FACILITY NUMBER:
384002512
ADMINISTRATOR:JOSHUA JACKSONFACILITY TYPE:
850
ADDRESS:316 LEAVENWORTH STREETTELEPHONE:
(415) 409-3101
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY:40CENSUS: 24DATE:
05/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Emily Guo and Veronica Figueroa.TIME COMPLETED:
04:30 PM
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On 5/9/2023., Licensing Program Analyst (LPA) Van conducted an unannounced visit with new Director Emily Guo and Regional Manager Veronica Figueroa. LPA discussed and reviewed a self-reported incident where the family reported to the Center that their child had disclosed that the teacher pulled their child's ear. The incident occurred on 4/11/23. According to the Regional Manager, the family advocate first brought up the incident. As part of the Center's internal investigation, staff members in the classroom were interviewed. LPA could not interview the child involved during the visit because the child had been picked up. The staff members interviewed stated they did not see or hear any commotion. The substitute teacher was longer employed for the Center due to a separate incident where according to the Regional manager, it was inappropriate communication with the parent. The child involved still attends the program and has a good relationship with all teachers.

Following the incident, the Center had a workshop/training for all staff on teaching Pyramind and Personal Rights training.

**No deficiency was issued at this moment.**

Director Emily Guo and Regional Manager Veronica Figueroa read and signed this report.

During the visit, LPA obtained the new Director's paperwork and the Center's internal investigation of the incident.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023
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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