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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004182
Report Date: 10/30/2023
Date Signed: 10/30/2023 04:20:09 PM

Document Has Been Signed on 10/30/2023 04:20 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: 8CENSUS: 8DATE:
10/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Cindy Yue Zhen NgTIME COMPLETED:
04:50 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management to correct incorrect information relating to a backyard on an annual inspection report dated on 9/21/2023. LPA met with the licensee and the licensee's husband who was a helper. All adult residents had fingerprint clearance. LPA explained the purpose of the inspection to the licensee. The facility had 8 children including 3 infants and 5 preschoolers present with a helper upon LPA's arrival. LPA Mok created a report to include a backyard back to the daycare areas that were excluded in the report dated 9/21/2023 by mistake. The facility requested and approved to addition of a backyard to the daycare areas during the annual inspection dated 9/27/2022. The daycare areas are the entire level including a bathroom, a main play area, a nap room that is next to a garage, and a backyard. The off-limit areas are the entire upper level, a guest room that is close to the backyard on the lower level, and a garage.







An exit interview was conducted and the report was reviewed with the licensee, Cindy Ng. Subscribe to CCLD important information - Child Care Centers and Family Child Care Homes: Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2023
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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