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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004036
Report Date: 09/02/2020
Date Signed: 09/02/2020 04:56:13 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HUI, YIN YUFACILITY NUMBER:
384004036
ADMINISTRATOR:HUI, YIN YUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 729-4132
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY:14CENSUS: 5DATE:
09/02/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Hui, Yin YuTIME COMPLETED:
05:10 PM
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Due to the COVID-19 health crisis and state, local county orders, a tele-inspection was conducted. Licensing Program Analyst (LPA) Van met with the Licensee, Yin Hui Yu, via Facetime. Currently, there are five children in care with the Licensee and a helper. The purpose of the tele-inspection today is case management to incorporate a bedroom into the daycare, in conjunction with a Technical Assistance inspection to support the licensee operations during this public health crisis.

LPA inspects the current daycare areas and the newly requested bedroom for health and safety hazards. LPA observed the bedroom is clean, orderly, has sufficient lighting and ventilation. There are varieties of age-appropriate toys, books for the children, and cribs available for children. There are several child-size tables, chairs, and all tables have rounded corners.

The Licensee has submitted LIC 610A, LIC 999A, and a cover letter to request the bedroom incorporating into the license.

As of September 2, 2020, the bedroom is now incorporated into the daycare. This report will be sent to the Licensee's via email with a read receipt confirmation in lieu of the Licensee's signature. This report must be available in the facility for public review.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2020
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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