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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384003084
Report Date: 12/03/2024
Date Signed: 12/03/2024 04:57:53 PM

Document Has Been Signed on 12/03/2024 04:57 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:NG DU, GENESIS & NG DU, ERICFACILITY NUMBER:
384003084
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
12/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Eric Ng, Genesis Ng, and YocastaTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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On December 3, 2024, Licensing Program Analysts (LPAs) Naves and Van conducted an unannounced annual inspection and met with Licensee’s Genesis and Eric Ng. Present was another helper Yocasta. LPAs explained the objective of the inspection and were granted access to the property by the Licensee’s. Four children are present today (three infants and one preschooler). The Licensees comply with the licensing capacity and limits today. All adults who live or work in the house have a criminal background check. The physical plant has not changed. The off-limits and childcare areas are the same. The living room, nap room, bathroom, and kitchen on the second floor and the downstairs bathroom, playroom and backyard are designated as daycare areas. Off limit areas are the master bedroom, office and dining room on the second floor the garage on the ground floor. According to the Licensee, when a child displays indications of illness, the Licensee will isolate and have the child wait in the kitchen while contacting the parent to take them up. The days and hours of operation are Monday through Friday, 7:30 am to 5:30 pm no overnight care.

LPAs inspected the Licensee's indoor and outdoor play spaces for health and safety concerns. The childcare environment is clean and organized, with age-appropriate activities, books, and play materials. The home has proper heating, lighting, and ventilation, and it is free of defects or situations that risk children in care. The house has a fully charged fire extinguisher, smoke and carbon monoxide detectors, and a functional phone. The facility has a fully stocked first aid kit available for children.

LPAs observed 3 full sized cribs that are in good working order. LPAs observed that no toys, pillows, or anything else should be hung over the cribs. LPAs observed that the cribs mattresses were the right size with fitted sheets. Child-proof covers protect every unused electrical outlet. During inspection that latch where detergents, and cleaning agents are stored under the cabinet was not secured. LPAs reminded Licensee of the importance of it needing to be secured, licensee immediately secured latch. The play structures and toys in the backyard are age-appropriate, in excellent shape, and free of loose components or hazards. The facility has no bodies of water. According to the Licensee, there were no firearms, weapons, and no baby walkers, bouncers, or similar equipment in the daycare. LPAs observed a dog and a cat in the home licensee stated both pets are up to date with vaccinations. The Licensee is informed that smoking is not permitted in family child care facilities.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jaclyn Naves
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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 3
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: NG DU, GENESIS & NG DU, ERIC
FACILITY NUMBER: 384003084
VISIT DATE: 12/03/2024
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According to the Licensee, fire and earthquake drills are conducted every 6 months. The last drill took place on August 26,2024. Breakfast, lunch, and morning and afternoon snacks are provided.

During the inspection, LPAs reviewed all four children's records. The Licensee maintains records for all children in their care, including vaccination records and Parental Rights forms. LPAs noted that each child’s complete emergency information card that included the child's full name, phone number, and the location of a parent or authorized person who may be called in an emergency. The name and phone number of the child's doctor, as well as the parent's permission for the Licensee to consent to emergency medical care. The Licensee kept up with her immunizations, Mandated Reporter Training AB 1207, and has proper daycare liability insurance. Pediatric CPR/First Aid for both Licensees are valid until February 4, 2025. The Licensee posted all required paperwork, such as the facility License, Notification of Parental Rights, Earthquake Preparedness Checklist, and Notification of Personal Rights.

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.

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.


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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jaclyn Naves
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NG DU, GENESIS & NG DU, ERIC
FACILITY NUMBER: 384003084
VISIT DATE: 12/03/2024
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LPAs 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.

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.
LPAs 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.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

During the exit interview, the LICENSEES, ERIC NG and GENESIS NG, 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 the report was reviewed with both licensees, Eric & Genesis Ng.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jaclyn Naves
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC809 (FAS) - (06/04)
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