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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001201
Report Date: 09/21/2023
Date Signed: 09/21/2023 01:23:31 PM

Document Has Been Signed on 09/21/2023 01:23 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:CUI, PEI XIANFACILITY NUMBER:
384001201
ADMINISTRATOR:CUI, PEI XIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 468-8918
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 5DATE:
09/21/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Cui, Pei XianTIME COMPLETED:
01:50 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection due to the licensee's request to add a backyard to the daycare areas. LPA met with the licensee and the licensee's husband and explained the purpose of the inspection to them. LPA observed five children including an infant present. The licensee stated that the total enrollment was 13 children. LPA inspected the backyard for health and safety hazards. The pathway to the backyard is from the deck next to the kitchen. The children must go through the kitchen to the deck and take the stairway to the backyard. The backyard was completely fenced. The licensee wanted to use the front part of the backyard that was close to the house for the daycare, and the back of the yard was the off-limit area. The licensee had fenced up the left side of the yard with a gate for two vaccinated dogs. The children did not have access to them. Gate and door were installed at the stairway. The licensee also had a gate in the back of the yard to prevent the children from accessing it.

The following items have to be completed before approval:
  • The licensee needs to barricade the concrete area with the support posts and footings underneath a deck on the left side of the house. The ends of the barricade have to be mounted to the fence and wall to stabilize it.

  • cover a support post and footing with soft cushioning underneath a deck on the right side of the house that next to the lemon tree.

  • cover the edge of the lower bottom of the stairway with soft cushioning to prevent children from bumping into it.
  • install the garden fence around the lemon tree area to separate the soil and concrete areas.

  • install the safety alert tape at the edge of the concrete underneath a deck and soil by the lemon tree areas.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
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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