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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002724
Report Date: 03/15/2024
Date Signed: 03/15/2024 12:15:08 PM

Document Has Been Signed on 03/15/2024 12:15 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:CHINATOWN COMMUNITY CHILDREN'S CENTER-NORTH BEACHFACILITY NUMBER:
384002724
ADMINISTRATOR:KWONG, ANNEFACILITY TYPE:
850
ADDRESS:715 CHESTNUT STREETTELEPHONE:
(415) 986-2528
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94133
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 21DATE:
03/15/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Anne Kwong , Janet Lui & Jenny HuangTIME COMPLETED:
12:30 PM
NARRATIVE
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On March 15, 2024 at approximately 11:15am, Licensing Program Analyst (LPA) Ly conducted an unannounced, case management inspection for lead testing in Child Care Center's water. LPA met with the Executive Director, Anne Kwong and Site Supervisor, Janet Lui and Site Supervisor, Jenny Huang . The purpose of the inspection was explained. Children were at the park when LPA arrived. Children returned to facility at noon. Present today were 5 staff caring for 21 children.

LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Per report collected from facility, facility had conducted lead testing in January 2020. However, lead testing was not done according to Written Directive. On this day, facility has been advised to retest. Per facility representatives, facility has been scheduled for retest 03/21/2024. Facility did not conduct lead testing based on the requirement of the Written Directive poses a potential health and safety risk to children in care. Type B deficiency has been issued on this day in accordance with the Health and Safety Code 1597.16(a)(1), see LIC 809D.

Plans of Corrections (POC) were developed and reviewed with Executive Director. A copy of this report and appeal rights were discussed and left with Executive Director whose signature on this form confirm receipt of these reports.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2024
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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Document Has Been Signed on 03/15/2024 12:15 PM - It Cannot Be Edited


Created By: Winnie Ly On 03/15/2024 at 11:54 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHINATOWN COMMUNITY CHILDREN'S CENTER-NORTH BEACH
FACILITY NUMBER: 384002724

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/15/2024
Section Cited
HSC
1597.16(a)(1)

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(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
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Facility representatives showed proof of emails that they have scheduled retest for facility.
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Based on record review, the facility did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.
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Facility will send complete test result to licensing by due date 04/15/2024.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Garfield Leung
LICENSING EVALUATOR NAME:Winnie Ly
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
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