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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004173
Report Date: 10/11/2019
Date Signed: 10/25/2019 05:59:57 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:SHINING STAR BILINGUAL MONTESSORIFACILITY NUMBER:
384004173
ADMINISTRATOR:WANG, FEIFEIFACILITY TYPE:
850
ADDRESS:610 20TH STREETTELEPHONE:
(415) 881-1883
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY:50CENSUS: DATE:
10/11/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Wendy WangTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Pandora Huffman-Smith met with the applicant, Wendy Wang, today for a follow up pre-licensing inspection. The purpose of today's inspection is to review requirements prior to licensure. The following items have been corrected:
  2. Carbon Monoxide Detectors have been installed.
  3. First aid supplies have been purchased.
  4. Gates have been installed at bottoms of front and back stair cases.
  5. A waiver was received for scheduled usage of the outdoor play area.
  6. A gate has been installed in the outdoor play area to separate areas not safe for children.
  7. Facility postings have been posted.
Prior to licensure:

The waiver for scheduled usage of the outdoor play area requires management approval.

LPA advised that the second floor of the facility requires inspection prior to usage.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
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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