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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004017
Report Date: 03/04/2025
Date Signed: 03/04/2025 11:31:14 AM

Document Has Been Signed on 03/04/2025 11:31 AM - 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:TINKER PRESCHOOL COLE VALLEYFACILITY NUMBER:
384004017
ADMINISTRATOR/
DIRECTOR:		WENDY HAN HSIU YEHFACILITY TYPE:
850
ADDRESS:1749 WALLER STREETTELEPHONE:
(415) 425-3248
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94117
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 31DATE:
03/04/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Director, Wendy YehTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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On 3/4/2025, at approximately 9:00AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced case management visit at the facility. LPA met with the Director, Wendy Yeh, and explained the purpose of the visit. Present during the visit was Director, ten staff members, 22 preschool age children, and nine toddlers. The facility is in compliance with staffing and ratio requirements on this day.

The facility submitted an unusual incident report on 2/27/2025 regarding an incident that occurred in September 2024. The facility was not in compliance with reporting requirements on this day.

During the visit, LPA and Director discussed reporting requirements and procedures for reporting. Director is aware that unusual incidents are to be reported by phone within 24 hours, and that a written report is to be submitted within seven days.

See LIC809-D for deficiency cited today regarding reporting requirements. Appeal rights were provided and explained to Director.

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

Exit interview conducted and report was reviewed with Director, Wendy Yeh.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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Document Has Been Signed on 03/04/2025 11:31 AM - It Cannot Be Edited


Created By: Jonathan Tse On 03/04/2025 at 10:06 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: TINKER PRESCHOOL COLE VALLEY
FACILITY NUMBER: 384004017

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/18/2025
Section Cited
CCR
101212(d)(1)(C)

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Reporting Requirement
(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

This requirement was not met as evidenced by:
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A written unusual incident report was received by the Regional Office on 2/27/2025. LPA discussed with Director the requirement to report unusual incidents. Director understands the requirements and provided LPA with a signed statement attesting to their understanding of reporting requirements.
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Based on record review and interview, Licensee did not comply with the above by not reporting an unusual incident that occurred in September 2024. This posed a potential risk to the health, safety, or personal rights of persons in care.
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This deficiency shall be cited and cleared on the day of the visit, 3/4/2025.

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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:Ali Zebila
LICENSING EVALUATOR NAME:Jonathan Tse
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


LIC809 (FAS) - (06/04)
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