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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004387
Report Date: 12/07/2021
Date Signed: 12/07/2021 03:38:59 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:LITTLE PANDA PRESCHOOLFACILITY NUMBER:
384004387
ADMINISTRATOR:JOY OUELLETTEFACILITY TYPE:
850
ADDRESS:205 GRANADA AVENUETELEPHONE:
(415) 990-1930
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:58CENSUS: 20DATE:
12/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Tiffany ZhangTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst, LPAs Yee, and Mok conducted a case management visit today. LPA arrived at the facility at 10:30 am and rang the doorbell. No answer. LPA waited and continue to ring the doorbell. No answer. LPA called the phone listed above. No answer and left a voice message. At 10:41 am, LPA call the owner, Tiffany's mobile number. Tiffany said she is not onsite said someone at the center should respond to the door. Finally at 10:48 am, staff, Jiani Zhang responded to the door. LPA showed her CCL's ID and introduced herself. Jiani Zhang did not let the LPA in. A phone call came in at the same time. Jiani answered the phone, then after she completed her phone call, Jiani let LPA in. The purpose of the visit was explained to staff, Jiani Zhang. At that time there were a total of three staff members (S1, S3, S4) and 20 children (2 toddlers, 18 preschoolers). All 20 children were in the playground. Two programs were commingling.

Owner, Tiffany and staff, Mei Shan Li arrived at the facility at 11 am.

At 11:00 am, LPA checked the facility's personnel summary report with the staff and the owner. Three staff members were not associated with the facility. Therefore, a civil penalty of $300 was issued today. Advisory notice was provided at the previous on 10/28/2021.

All staff records were reviewed today. The staff Mei Shan Li who arrived at the facility at 11:00 am is qualified to be a teacher. However, the facility does not have a qualified site director on site. In September, the facility had submitted a change of director package for Joniqua Smith, and a few days later, the owner asked to disregard the paperwork.

On 11/05/2021, LPA received a director package for YanYi Huang. LPA then sent out a letter requesting for more paperwork to be submitted. LPA never received the additional paperwork for YanYi Huang.

On 11/30/2021, LPA spoke with Tiffany on the phone. Tiffany said there was some email issue that causes the document to go through. LPA had a lengthy discussion in regards to site director qualifications and fingerprint clearance issues.

On 12/2/2021, Tiffany emailed LPA requesting to place the FCCH license to be on inactive status because she said she needed to be at the center as a director. LPA again requested Tiffany to submit her director qualifications package. Then Tiffany contacted LPA stating that she doesn't understand.

On 12/03/2021, Tiffany emailed LPA requesting to cancel the inactive FCCH.
Today LPA verify with Tiffany, she wants to place her FCCH back to active.

See the following citations. This report has been explained to Tiffany in Cantonese and English.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LITTLE PANDA PRESCHOOL
FACILITY NUMBER: 384004387
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/07/2021
Section Cited

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101200(a)(1) Inspection Authority of the Department
Any duly authorized officer, employee, or agent of the department may, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, this act or the regulations adopted by the department pursuant to the act.
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LPA arrivied at the facility at 10:30am, ring the bell. No answer. A phone call was made. No answer. Staff answer the door at 10:48am. LPA introduced herself, show CCL's ID. The staff still did not let LPA in immediately. A phone call came in and staff answered the phone then let the LPA in. This requirement is not met as evidenced by the inspection and LPA observation. This poses an immediate safety risk to children in care. Civil penalty of $500 was issued today.
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Type A
12/07/2021
Section Cited

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101170(e)- Criminal Record Clearance.
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility.
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There are 3 staff members not associated to the facility. This requirement is not met evidenced by paperwork reviewed, LIS review. A phone call was made into the office and no association. Helpers are onsite without fingerprint clearance association. This poses an immediate Health and Safety or Personal Rights risk to the children in care. Civil Penalty of $300 was issued.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LITTLE PANDA PRESCHOOL
FACILITY NUMBER: 384004387
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/17/2021
Section Cited

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101215.1 (b) Child Care Center Directors Qualifications and Duties


The owner submitted multiple director packages (September, October). However, the owner withdraw the September director package and the October staff was not qualified.
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This requirement was not met as evidence-based upon records review. This poses a potential health risk to children in care.
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Type B
12/07/2021
Section Cited

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101216.1 Teacher Qualifications and Duties
A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below, or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing.
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Upon arrival, there were 2 teachers and teacher aid with 18 preschool, 2 toddlers.

This requirement was not met as evidence-based upon records review. This poses a potential health risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LITTLE PANDA PRESCHOOL
FACILITY NUMBER: 384004387
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/07/2021
Section Cited

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101216.3 (C)(2)(A)Teacher-Child Ratio
Whenever groups of children of two (2) age categories are commingled and the younger age group exceeds fifty percent (50%) of the total number of children present, the ratios for the entire group must meet the ratios required for the younger age group.
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Upon arrival, at 11:00am, two toddlers (20 months, 23 months) were commingleing with the preschool children at the playground. This requirement was not met as evidence-based upon records review and inspection. The licensee failed to maintain current ratio.

This poses a potential health risk to children in care.
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Type B
12/17/2021
Section Cited

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1596.8662 Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion
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Staff #1, #3, do not have Mandated reporter training that satisfies AB1207 on file.

This requirement was not met as evidence-based upon records review and inspection. The licensee failed to maintain current file.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4