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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001466
Report Date: 11/13/2024
Date Signed: 11/13/2024 09:48:30 AM

Document Has Been Signed on 11/13/2024 09:48 AM - 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:YANG, HUI XINFACILITY NUMBER:
384001466
ADMINISTRATOR/
DIRECTOR:
YANG, HUI XINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 387-7829
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
11/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Qianmei Ma & Hui Xin Yang (Cindy)TIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On November 13, 2024 at approximately 9:00am, Licensing Program Analysts (LPAs) Ly and Lo conducted an Unannounced Case Management Visit to this family child care home and met with Assistant Quianmei Ma. Licensee is not home. Purpose of visit was explained over the phone to Licensee. Licensee stated she was at a doctor appointment. Present during the visit was just Assistant caring for 1 infant age child and 5 preschool age children. Licensee, Hui Xin Yang (Cindy) returned home 15 minutes into the inspection.

LPAs inspected the home for Health and Safety Hazards. LPAs observed a few feeding chairs in the dining and one in the bedroom. On this day, Licensee was advised feeding chairs are only to be used for feeding. LPAs also observed a crib with mattress still covered in plastic. Licensee was advised if crib is used for day care children, plastic must be removed. Licensee stated crib is not being used at this time.

The flat next door is also a licensed family child care, on this day Licensee has been advised there should not be any co-mingling between the two family child care.

On this day, Licensee also has been advised she must reside on premises where she is licensed for her family child care.

No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations. A copy of this report and appeal rights were discussed and left with Licensee whose signature on this form confirm receipt of reports. Notice of Site Visit was provided to licensee. Licensee was advised Notice of Site Visit to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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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