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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002773
Report Date: 10/02/2024
Date Signed: 11/06/2024 05:02:43 PM

Document Has Been Signed on 11/06/2024 05:02 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:WEN, JIANFACILITY NUMBER:
384002773
ADMINISTRATOR/
DIRECTOR:		WEN, JIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 370-4878
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
10/02/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:Jian WenTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
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On October 2, 2024., Licensing Program Analyst (LPA) Van conducted a random annual inspection and met the licensee, Jian Wen. The purpose of the inspection was explained, and the licensee granted LPA access to the facility. Upon entering the home, LPA observed all children were napping, and some were getting up. The Licensee and her assistant supervised seven children (4 infants and 3 preschool-age children). The Licensee met the license capacity and limitation. All staff present have criminal record clearance verified with the CDSS Guardian Background Check System and are found to have eligible clearance status.

Approved childcare areas: only on the ground floor, which includes the two small rooms, the living room, the bathroom, and the backyard. Off-limit areas are the garage and the entire second floor. The hours of operation are Monday to Friday, 8:00 am - 5:00 pm. All off-limit areas have been appropriately barricaded and inaccessible to children.

LPA inspected the childcare areas for any potential health and safety concerns. The childcare environment was clean and organized, with various age-appropriate activities such as imaginary and manipulative play. The home has had proper heating, lighting, and ventilation, and no defects or situations that could pose any risk to children in care. Additionally, the facility had a fully charged fire extinguisher, smoke and carbon monoxide detectors, and a functional phone. A fully stocked first aid kit was also available for any children in need. LPA observed that all unused electrical outlets were covered with child-proof covers. The Licensee was reminded that detergents and cleaning agents must always have child-proof locks/latches installed if stored under the bathroom sink.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: WEN, JIAN
FACILITY NUMBER: 384002773
VISIT DATE: 10/02/2024
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Per the licensee, no firearms, weapons, or pets were on the premises, and no baby walkers, bouncers, or similar equipment were used in the daycare. The Licensee was informed that smoking is prohibited in family childcare facilities.

The backyard is completely fenced with different play structures and is in good condition. The provider has placed soft padding under these play structures to prevent accidents. LPA also noticed a children's trampoline in the yard. The licensee mentioned that only one child is allowed on the trampoline at a time and must wear a helmet. LPA reminded the licensee that a child should not be alone on the trampoline and that close supervision is necessary when children are using the trampoline.

LPA noticed the playpens were clear of toys, pillows, or hanging objects. The padding and bed sheets were snugly fitted. The 15-minute infant sleeping logs were provided to LPA for review during the visit. It was confirmed that the logs were accurately maintained with dates, times, and staff initials.
According to the Licensee, regular fire and earthquake drills are conducted at least once every six months. The most recent drill was conducted on August 9, 2024.

During the inspection, the LPA thoroughly examined all records related to the children present and those of the licensee and her assistant. The licensee was seen to be maintaining accurate records for each child, including vaccination records, parental rights forms, and consent for medical treatment. The licensee and her assistant had all the necessary licensing forms, completed mandated reporter training, and held valid Pediatric First Aid CPR certification.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: WEN, JIAN
FACILITY NUMBER: 384002773
VISIT DATE: 10/02/2024
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LPA discussed the safe sleep regulations with the Licensees and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm.

The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPA reviewed AB 1207 with the Licensees. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.



To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: WEN, JIAN
FACILITY NUMBER: 384002773
VISIT DATE: 10/02/2024
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE, JIAN WEN, confirmed that there are no Registered Sex Offenders living in the facility, and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and report was reviewed with the licensee, Jian Wen
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC809 (FAS) - (06/04)
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