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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002641
Report Date: 04/11/2024
Date Signed: 04/11/2024 01:06:27 PM


Document Has Been Signed on 04/11/2024 01:06 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:LI, CUILINGFACILITY NUMBER:
384002641
ADMINISTRATOR:LI, CUILINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 387-2802
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY:14CENSUS: 8DATE:
04/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:CuiLing LiTIME COMPLETED:
01:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection for the correction that was listed on the advisory note dated 12/7/2023. LPA met with the licensee, Cuiling Li, her husband, and a female helper. All adults have fingerprint clearance. The facility had 8 children including 3 infants with the licensee, the licensee’s husband, and a helper during the inspection. Some of the children were eating and others were getting ready for napping upon LPA’s arrival. The advisory note dated 12/7/2023 that requested the licensee provide the current Child Abuse Mandated Reporter Training (AB1207) for herself, her husband, and her helper by the due date listed in the note. The licensee provided her current AB1207 certificate to LPA Mok via email on 12/25/2023 without the certificates for the other 2 persons in the daycare. LPA reviewed the current Child Abuse Mandated Reporter Training certificates for 3 of them during the inspection. All of them had current AB1027 certificates that will expire in 12/2025.



This report and notice of the site visit were discussed with the licensee and must be made available to the public upon request. For quarterly updates on Licensing information, go to the 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: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024
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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