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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002040
Report Date: 05/07/2024
Date Signed: 05/07/2024 04:54:14 PM

Document Has Been Signed on 05/07/2024 04:54 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:ST.THOMAS THE APOSTLE PRE&K LRNG CTRFACILITY NUMBER:
384002040
ADMINISTRATOR/
DIRECTOR:		MEN, JIA JUNFACILITY TYPE:
850
ADDRESS:710 - 40TH AVENUETELEPHONE:
(415) 387-5511
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 75TOTAL ENROLLED CHILDREN: 73CENSUS: 36DATE:
05/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:50 PM
MET WITH:Jia Jun Men (Jessie)TIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Mok and Alvarado conducted an unannounced case management inspection for an item that was listed on the Advisory Note dated 4/9/2024. LPAs met with the Site Director, Jia Jun Men (Jessie), and explained the purpose of the inspection to her. There were 36 children with 9 staff present upon LPA's arrival. Regarding the advisory note dated 4/9/2024, one of the urinals in the children's bathroom was out of order. Per the Site Director, the particular urinal hasn't been fixed yet because they just got an estimate with good price and set up a schedule on 5/14/2024 to fix it. LPA will inspect it after it's been fixed.








This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update 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: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/07/2024
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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