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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002487
Report Date: 08/28/2023
Date Signed: 08/28/2023 03:16:59 PM

Document Has Been Signed on 08/28/2023 03:16 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:LINDSEY, SALINAFACILITY NUMBER:
384002487
ADMINISTRATOR:LINDSEY, SALINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 678-9615
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
08/28/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Salina LindseyTIME COMPLETED:
03:00 PM
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On August 28, 2023, at 2:00 p.m., an informal office meeting was conducted at the San Bruno Regional Office. Licensing Program Manager (LPM) Garfield Leung, Licensing Program Analyst (LPA) Winnie Ly and Licensee Salina Lindsey were present at the meeting. The purpose of this meeting was to discuss about the Self Reported Incident that took place at the Family Child Care on 05/24/2023 and how to ensure the health and safety of children at the Licensee's childcare home are not at risk.

The Licensing Program Manager (LPM) explained the purpose of the meeting and discussed the history of the facility. During the meeting, Licensee discussed her plans with LPM Garfield Leung to ensure that the health and safety of the children under her care are not at risk. Licensee was advised minor son can not be present at the family child care home. Licensee was also advised Licensee must report to Licensing if there’s any changes to court order regarding when minor son can return to San Francisco or Licensee’s home. Licensee was also reminded that all gun/weapons are to be locked and inaccessible to children in care.




Report was read and reviewed by all parties. Copy was provided to Licensee Salina Lindsey.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2023
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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