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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004049
Report Date: 10/11/2024
Date Signed: 10/11/2024 11:14:14 AM

Document Has Been Signed on 10/11/2024 11:14 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LI, YUTINGFACILITY NUMBER:
384004049
ADMINISTRATOR/
DIRECTOR:		LI, YUTINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 910-7683
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 9DATE:
10/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:19 AM
MET WITH:YuTing LiTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On October 11, 2024, Licensing Program Analyst (LPA) Van conducted an annual random inspection and met the Licensee, Yuting Li. LPA explained the purpose of the inspection to the Licensee and was given access to the home. Upon entering the house, LPA observed two assistants and the licensee having a free play. The licensee and two assistants supervised seven children. During the visit, two more children arrived, bringing the total to nine (four infants and five preschoolers). The licensee complies with the licensing capacity and limits today.

Per the Licensee, there were no changes to the previously approved childcare areas. Childcare Areas (First floor only): Living room, kitchenette, bathroom, and backyard. Off Limit Areas: First floor: Bedroom #1, garage, and the entire second floor.

LPA and the Licensee inspected the childcare areas for any potential dangers to health and safety hazards. The childcare areas were clean, and age-appropriate books and activities were available for children. The childcare areas also had good heating, lighting, and ventilation, and no potential hazards posed any risk to children. There is a combination of carbon monoxide and smoke detector and a fully charged fire extinguisher with a specification of 3A 40 BC.

LPA observed three cribs in the childcare areas. LPA reminded the licensee to keep the cribs free of toys, blankets, or pillows when infants are napping. The mattresses must fit the cribs’ dimensions, and the bedsheets must be snugly secured. Upon reviewing the infant's sleeping logs, it was found that the logs were not consistently documented. The records indicated that from August to October, there was no documentation of the 15-minute checks for all four infants. As a result, Type B deficiency was cited.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 10/11/2024 11:14 AM - It Cannot Be Edited


Created By: Brendon Van On 10/11/2024 at 10:18 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: LI, YUTING
FACILITY NUMBER: 384004049

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, it was found that the Licensee did not consistently document the 15-minute increment checks for infant sleeping logs. This lack of consistent documentation poses a potential risk to the health, safety, or personal rights of infants in care.
POC Due Date: 10/18/2024
Plan of Correction
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The Licensee must consistently document the 15-minute checks for all infants during nap time. These records must be available for review upon request. A follow-up visit is required to verify that the Licensee has implemented the change. The plan of correction is due on October 18, 2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2024


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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: LI, YUTING
FACILITY NUMBER: 384004049
VISIT DATE: 10/11/2024
NARRATIVE
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Cleaning products and disinfectants were stored in the kitchen cabinets with child-proof locks. The licensee stated that no firearms or weapons were present in the home. LPA did not observe baby walkers, bouncers, or similar equipment in the childcare areas. The licensee was reminded that smoking is prohibited in the family childcare home.

The backyard is fully enclosed and equipped with age-appropriate play equipment. It is clear of any dangers or clutter that could harm the children in my care. The licensee has placed a soft rug on the backyard floor to reduce the chances of accidental falls and injuries.

LPA discussed and informed the Licensee that she must be present at home to ensure that the children in her care are always supervised. When the licensee must be absent from the house, the temporary absence should not exceed 20 percent of the hours the facility provides care per day.

During the visit, LPA reviewed the records for both children and personnel. The licensee maintains proper records of the children in care, including vaccination records, parental rights forms, and complete emergency information. The licensee and assistants have kept records of all essential licensing requirements, such as necessary immunizations, valid Pediatric First Aid CPR certifications, and up-to-date mandated reporter training.

All the required licensing postings were observed posted. The licensee reported that the facility conducts regular fire and earthquake drills at least once every six months. However, the most recent fire drill occurred on April 3, 2024, just beyond the six-month requirement, and a new one has not been conducted yet. The licensee said she would perform one today after the LPA's inspection. As a result, a technical violation was issued.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
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: LI, YUTING
FACILITY NUMBER: 384004049
VISIT DATE: 10/11/2024
NARRATIVE
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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.

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.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
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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: LI, YUTING
FACILITY NUMBER: 384004049
VISIT DATE: 10/11/2024
NARRATIVE
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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

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.

A survey will be sent to the email address provided 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 LICENSEE, YUTING LI, 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 the licensee, Yuting Li.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
LIC809 (FAS) - (06/04)
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