<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002827
Report Date: 03/25/2026
Date Signed: 03/25/2026 01:29:30 PM

Document Has Been Signed on 03/25/2026 01:29 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:NYAMDORJ, GERELMAAFACILITY NUMBER:
384002827
ADMINISTRATOR/
DIRECTOR:
NYAMDORJ, GERELMAAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 988-1154
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
03/25/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Gerelmaa NyadamdorjTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On March 25, 2026 at approximately 9:50am, Licensing Program Analyst (LPA) Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Gerelmaa Nyamdorj, and explained the purpose of the visit.

Upon LPA's arrival, present during visit included licensee, assistant, licensee's sister in law, licensee's adult daughter and 10 children. Licensee stated they live in the multi-level home with their spouse and adult daughter only. Adults present and living in the home have fingerprint clearance on file and are associated to licensee's facility.

Hours of operation are Monday through Friday 7:30am to 5:30pm. The DAY CARE AREAS are the living room (main play room), dining room (napping room), bathroom #2 and backyard. The OFF LIMIT AREAS are bedroom #1, bedroom #2, bathroom #1, garage, backyard balcony and kitchen. LPA observed access to off limit areas are made inaccessible with child safety gates.

With licensee, LPA inspected home for health and safety hazards. There are stairs in the home that children utilize when going to the backyard. LPA observed stairs to be made inaccessible with a closed door. Living room includes a variety of toys and materials that are in good condition. Per licensee, toys and materials are sanitized at least once a week. LPA did not observe accessible, electrical outlets in day care areas. There are rugs in day care areas that were observed to be clean, free of stains. Per licensee, rug is vacuumed weekly. There is a fireplace in the living room that is made inaccessible to children and blocked by furniture.

LPA observed main living room to have a large window with sliding doors. LPA observed a child safety gate installed in front of window for additional safety. Sharp corners were also observed to have padding installed. There are sufficient cubbies for children's personal belongings, that are labeled with children's names.
(Continue report on page 2...)
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NYAMDORJ, GERELMAA
FACILITY NUMBER: 384002827
VISIT DATE: 03/25/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Continued, Page 2...)
LPA did not observe any accessible poisons or cleaning solutions in the day care areas. There are cabinets in the day care areas that have child safety locks installed. Home is equipped with a fully charged fire extinguisher, multiple fully stocked first aid kits and combination smoke and carbon monoxide detectors. LPA observed multiple detectors throughout home. LPA tested one combination detector during today's visit, which was observed to be in working condition.

Bathroom for children's use was observed to be in working condition. LPA observed cabinets and drawers in bathroom to not include any poisonous materials. Per licensee, majority of children enrolled are currently in diapers. Licensee stated diapers are provided by children's families. LPA observed children's diapers to be appropriately stored and labeled.

Children sleep in the dining area in cribs and/or play yards. Children able to climb sleep on floor mats in the living room area. LPA observed children to be in cribs during today's visit. LPA observed cribs to be free of loose articles, objects and materials. Licensee maintains sleeping logs for infants that were made available for LPA's review. LPA reviewed sleeping logs for random months of October through December 2025 and March 2026. LPA observed sleeping logs document the initial time the infant fell asleep, the 15 minute time stamp of when the infant is checked on while sleeping, the infant's sleeping position, and the initials of the individual checking on the infant.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any 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.

The backyard is entirely enclosed and fenced. Per licensee, children use the outdoor area that does not include the stairs. LPA observed backyard to include outdoor toys and materials. Trees are made inaccessible with child safety gates. There is a sandbox that is covered when not in use. LPA did not observe any pools, spas or bodies of water.

Licensee provides a food service for children that includes breakfast, lunch and snacks. Per licensee, no enrolled children currently have any allergies. Reusable utensils and plates are utilized and are washed daily in the home. LPA observed kitchen to be clean and organized. Knives were observed to be in a high, magnetic strip, inaccessible to children.
(Continue report on page 3...)
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC809 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NYAMDORJ, GERELMAA
FACILITY NUMBER: 384002827
VISIT DATE: 03/25/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Continued, Page 3...)
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

LPA reviewed facility records that included children's records, assistant's record and licensee's record. Children's records are complete with emergency information and immunization records. LPA observed of the 10 children present, 6 children are infants (under 24 months) and 4 children are preschool age (over 24 months). Licensee is operating over capacity. A Type A deficiency was issued.

LPA observed children's records to include Individual Infant Sleeping Plan forms (LIC9227). Both licensee and assistant present have a current Pediatric CPR and First Aid certification. LPA observed both licensee and assistant present to also have a current Mandated Reporter certification. Licensee's CPR & First Aid certification and Mandated Reporter certification will expire 2/2027.

Licensing documents are posted and made available for review in the main entrance of the home. Emergency disaster drills are conducted and documented. Last documented disaster drill was conducted 3/16/2026. A childcare roster was made available for LPA's review. Per licensee, there are no weapons or firearms in the home. There is a small dog in the home that is kept in off limit areas, separate from children.

Licensee is being cited a Type A deficiency for operating over capacity with 6 infants. LPA discussed ratio with licensee.

LPA Quimbo informed licensee, Gerelmaa Nyamdorj, that this report dated March 25, 2026 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Quimbo informed the licensee to provide a copy of this licensing report dated March 25, 2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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.
(Continue report on page 4...)
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NYAMDORJ, GERELMAA
FACILITY NUMBER: 384002827
VISIT DATE: 03/25/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Continued, Page 4...)
During the exit interview, the Licensee Gerelmaa Nyamdorj, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

One Type A deficiency was issued during today's visit. Refer to 809D for more information. A plan of correction was discussed. Appeal rights were provided.

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

Exit interview conducted and report was reviewed with the licensee, Gerelmaa Nyamdorj.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026
LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 03/25/2026 01:29 PM - It Cannot Be Edited


Created By: Catrina Quimbo On 03/25/2026 at 12:41 PM
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: NYAMDORJ, GERELMAA

FACILITY NUMBER: 384002827

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/25/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102416.5(d)(1)
Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA observed 6 infants (under 24 months) present during today's visit, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/26/2026
Plan of Correction
1
2
3
4
LPA reminded licensee that a family child care home cannot provide care for more than 4 infants at one time. LPA provided capacity sheet to licensee. Licensee stated they will work with families to stagger children's schedules. A follow up visit will be conducted.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Catrina Quimbo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2026


LIC809 (FAS) - (06/04)
Page: 6 of 6