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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002533
Report Date: 03/05/2025
Date Signed: 03/05/2025 04:59:43 PM

Document Has Been Signed on 03/05/2025 04:59 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ZHOU, YAN HONGFACILITY NUMBER:
384002533
ADMINISTRATOR/
DIRECTOR:		ZHOU, YAN HONGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 585-5290
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
03/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:43 PM
MET WITH:Yan Hong ZhouTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
NARRATIVE
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On March 5, 2025, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced case management visit to follow up on the four technical violations issued on February 13, 2025. LPA met with the Licensee, Yan Hong Zhou, and explained the purpose of the visit.

Four infants and eight pre-k children were present today. The three adults caring for the children had obtained criminal record clearances from the California Department of Social Services.

A notice of site visit from February 13, 2025, was observed displayed on the wall, meeting the department’s posting requirements,

Fifteen-minute sleeping check records for the four infants were reviewed, and it was found that they were completed.

The children’s roster was reviewed and found complete with current and past children’s info.

Form LIC 995a, all twelve enrolled children were reviewed and found to be completed.

The emergency disaster drill log was reviewed and found to have been completed on February 14. 2025.

The licensee corrected all four technical violations issued on February 13, 2025, during today’s visit.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Yan Hong Zhou.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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