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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002199
Report Date: 06/25/2024
Date Signed: 06/25/2024 12:10:47 PM

Document Has Been Signed on 06/25/2024 12:10 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:FACESSF - BAYVIEW PRESCHOOLFACILITY NUMBER:
384002199
ADMINISTRATOR/
DIRECTOR:		KING, ROBYNFACILITY TYPE:
850
ADDRESS:100 WHITNEY YOUNG CIRCLETELEPHONE:
(415) 821-7550
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 54DATE:
06/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Kim WongTIME VISIT/
INSPECTION COMPLETED:
12:09 PM
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On June 25, 2024, Licensing Program Analyst (LPA) Sheran Lo conducted a case management inspection and met with Sr. Director Kim Wong. Purpose of the inspection was explained. Present were Director, 16 teachers, and 54 in care. The case management was related to the unusual incident reports that was submitted by Director which was submitted June 24, 2024.

Discussed during the inspection was to get more information of the possible incident. Based on LPA interview and reviewing the videos, there were no proof of any violation.

No Deficiencies were cited today.

Exit interview was conducted with Director Kim Wong. The report and Notice of Site Visit was provided. Notice of Site Visit will be posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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