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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002996
Report Date: 09/21/2023
Date Signed: 09/21/2023 01:21:13 PM


Document Has Been Signed on 09/21/2023 01:21 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:YU, PEI PINGFACILITY NUMBER:
384002996
ADMINISTRATOR:YU, PEI PINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 670-0996
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:14CENSUS: 9DATE:
09/21/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Pei Ping YuTIME COMPLETED:
01:30 PM
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During an unannounced inspection of the Plan of Correction (POC) on September 21, 2023, Licensing Program Analyst (LPA) Van met with Licensee Pei Ping Yu and her adult daughter. The purpose of the inspection was explained, and the Licensee granted LPA entry to the home. Nine children were in care with the Licensee and two helpers today (2 infants and seven preschoolers). The Licensee was operating within the License limitation and capacity today.

Today's inspection focused on reviewing the Pediatric First Aid CPR of the helper and the documentation of the Infants' sleeping logs. The records review confirmed that the helper had an up-to-date Pediatric First Aid CPR valid until September 2, 2025. The infants' sleeping logs were found to be adequately documented and maintained. All deficiencies cited during the annual inspection on August 28, 2023, were cleared today.

A consultation was provided to the Licensee, Pei Ping Yu, during the exit interview, and no deficiencies were observed during today’s inspection. The Licensee signed the report, which was provided to her along with a notice of the site. LPA reminded the Licensee that she must post a site visit notification for 30 days. Failure to comply with the posting requirements will result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2023
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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