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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002604
Report Date: 04/03/2023
Date Signed: 04/03/2023 11:13:54 AM


Document Has Been Signed on 04/03/2023 11:13 AM - 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:LIN, SILANFACILITY NUMBER:
384002604
ADMINISTRATOR:LIN, SILANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 825-5877
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 3DATE:
04/03/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Bilan ZhangTIME COMPLETED:
10:20 AM
NARRATIVE
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Licensing Program Analyst, LPA Yee conducted a follow-up visit today for the citation cited on 3/16/2023. LPA walked toward the facility and saw a parent dropping off a child. Bilan opened the door. LPA greeted Bilan and told her the purpose of the visit. LPA asked why she was at Silan Lin's facility. Bilan stated that Silan is still away on vacation, the facility is empty and she decided to use the facility for the morning and go back to her facility later. Bilan Zhang's facility is located on Gorham Street and Bilan's facility is separated from Silan Lin's facility with an adjoining fence in the back. LPA and Bilan also inspected Bilan's facility. There are no children at Bilan's facility.

On 3/16/2023, Tiffany Zhang (daughter of Silan Lin) stated that the licensee is away visiting a family member in another State. There's been no enrollment for many months and is considering surrendering the license to CCL. Today, LPA checked with CCL's office, and the licensee, Silan Lin did not surrender the license and has not paid her annual fees which were cited on 03/16/2023.

Pls. see next page for 2nd citation along with the $400 civil penalty. The civil penalty will continue until it is corrected.

An hour later Bilan's moved the children back to her facility. This report was explained to Bilan. A copy of this report and appeal rights were discussed and left with Bilan. Bilan has confirmed receipt of this report.


SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2023
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 2


Document Has Been Signed on 04/03/2023 11:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: LIN, SILAN
FACILITY NUMBER: 384002604

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2023
Section Cited

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102384(e): The failure of an applicant for lincesure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denail or forfeiture of a license

Licensing Fees. Licensee has overdue annual licensing in the amount of $210 (inclued late fees) which should be paid immediately.

***2nd citation

This requirement is not met as evidenced by:
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An office meeting maybe scheduled or CCL departement will close this facility as licensee has abandoned the facility and/or non payment of fees.
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Based on record review, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2