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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004182
Report Date: 09/21/2023
Date Signed: 09/21/2023 04:26:34 PM

Document Has Been Signed on 09/21/2023 04:26 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:NG,CINDY YUE ZHENFACILITY NUMBER:
384004182
ADMINISTRATOR:NG, CINDY YUE ZHENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 452-9135
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 9DATE:
09/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Cindy Zhen NgTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, Cindy Zhen Ng, and her helper and explained the purpose of the inspection to them. LPA observed 9 children including 3 infants with a helper present. The licensee stayed the total enrollment was 11 children as of the day of inspection. The facility is called Cindy's Day Care and the operation hours are Monday to Friday from 8 AM to 5 PM. The licensee lives in the house with her husband, her 2 daughters, and a son. The house has 3 bedrooms, 1 bath, a living room, and an open kitchen on the upper level, and the lower has 1 bathroom, 2 bedrooms, a living room, a garage, and a backyard. The daycare areas are the entire lower level except the garage and backyard. The Limit areas are the entire upper level, garage, and backyard. LPA toured and inspected the facility for health and safety hazards. The house was clean and in order. Temperature and lighting were adequate. All toxins and harmful objects were locked or made inaccessible to the children. There was a fully charged extinguisher, working cellular phone, working smoke and carbon monoxide detectors, and first aid supplies available in the daycare. The facility had plenty of age-appropriate toys, books, learning materials, and children's furniture that were in good condition and repair. The licensee installed the soft cushioning on part of the daycare floor. the lower drawers and cabinets in the food preparation area were latched or free of harmful objects. Boosters were available for feeding only; children must be removed after meals. Cribs and cots were used for napping. A gate was installed at the stairway to the upper level. Childproof knobs were installed on the door to the garage. All electrical outlets have built-in blockage to prevent children's access. The children's bathroom was clean and free of harmful objects. The outdoor play yard was completely fenced. The yard had plenty of age-appropriate toys, a play house, a slide, and ride-on toys. Licensee installed the soft cushioning on the outdoor ground to prevent injury. The facility provides breakfast AM / PM snacks, lunch, and dinner. The lower bathroom cabinet was free of harmful objects. The facility had no guns, weapons, or pets at home. Per the licensee, there were no children on special medication. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. PIN 22-05-CCP Page Five. The licensee had current CPR/First Aid training that will expire on 8/2025, Current Child Abuse Mandated Reporter Training that will expire on 7/2025, and the one for helper will expire on 7/2024. LPA reviewed children's files and staff files and obtained a copy of the current children's roster during the inspection. LPA also reviewed the 15-minute nap log during the inspection,
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2023
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: NG,CINDY YUE ZHEN
FACILITY NUMBER: 384004182
VISIT DATE: 09/21/2023
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  • Criminal Record Clearance - The licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

  • Safe Sleep - LPA discussed the safe sleep regulations with licensee [or facility representative] 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 [or facility representative] 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.

  • Megan’s Law - During the exit interview, the LICENSEE ****, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

  • Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.





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
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC809 (FAS) - (06/04)
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