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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004104
Report Date: 11/12/2019
Date Signed: 11/12/2019 11:27:12 AM

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:SUNNY INFANT AND PRESCHOOL CENTERFACILITY NUMBER:
384004104
ADMINISTRATOR:QIN, SUNNYFACILITY TYPE:
830
ADDRESS:3300 BALBOA STREETTELEPHONE:
(415) 831-3300
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY:22CENSUS: DATE:
11/12/2019
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Siu Ching Chan & Sunny QinTIME COMPLETED:
11:40 AM
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An informal meeting was conducted today in the San Bruno Regional Office. Present during the meeting is Regional Manager (Suzanne Roman-Clark), Licensing Program Analyst (Pandora Huffman-Smith), Owner (Siu Ching Chan), Facility Director (Sunny Qin). The purpose of the meeting is to discuss the change of ownership for this facility, prior legal issues with the former facility and whether there is any association with the current and prior owner.

The Regional Manager, Suzanne Roman-Clark, explained the purpose of the meeting and reviewed with the new owner the Decision and Order for the prior facility/owner and advised of the importance of not allowing former owners to be present in the facility. Fingerprint lists were reviewed to determine current staff.

The following items were provided to the new owner:
  • A copy of the Decision and Order for the prior owner/facility.
  • A provisional license.
  • A waiver for rotational and shared usage of the outdoor play area.

The following items are required to be submitted:
  • An amended LIC 200A, Application.
  • Schedule for outdoor rotations.
  • The final lease agreement
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019
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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