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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004253
Report Date: 10/17/2024
Date Signed: 10/17/2024 04:37:59 PM

Document Has Been Signed on 10/17/2024 04:37 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:GUO, YANYANFACILITY NUMBER:
384004253
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
10/17/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:YanYan GuoTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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Licensing Program Analyst LPA Yee conducted a case management visit today. The licensee, YanYan, and five children (2 infants) are present at the facility. The facility has requested to increase its capacity from a small FCCH to a large FCCH. Per YanYan, a fire inspection is scheduled for 10/22/2024.

Daycare areas: living room, bathroom, and backyard. The remaining areas of the home are off-limits.

LPA observed the infant bouncer today. After LPA pointed it out, it was removed. LPA also discussed the safe sleep and capacity worksheet.

Prior to approval for a large license, fire clearance is needed.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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