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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004278
Report Date: 03/13/2024
Date Signed: 03/13/2024 04:47:50 PM

Document Has Been Signed on 03/13/2024 04:47 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:YONDONRENTSEN, ZAGDSODNOMFACILITY NUMBER:
384004278
ADMINISTRATOR:YONDONRENTSEN, ZAGDSODNOMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(628) 777-4866
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
03/13/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Zagdsodnom Yondonrentsen (Sodnom)TIME COMPLETED:
05:20 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, Zagdsodnom Yondonrentsen (Sodnom), and a helper who has fingerprint clearance. LPA explained the purpose of the inspection. 7 children including 4 infants and 3 preschoolers with a helper present. The name of the facility is called "Little Duckling". The operation hours are Monday to Friday from 8:00 AM to 5:30 PM. The Licensee rents and lives with her husband and 2 children in this 2 stories single-family house that has a living room, family room, kitchen, and bathroom on the first level and 3 bedrooms, sun room, and bathroom on the second level. The house has a garage and a backyard. The Daycare areas include the living room, family room, kitchen, a bathroom on the first level (next to the kitchen). and a backyard. The Off-limit areas are the entire second floor, & garage. LPA toured and inspected the facility for health and hazards. The facility was clean and in order. Temperature and lighting were adequate. All toxins and harmful objects were either locked or made inaccessible to the children. Cubbies were available for the children to store their belongings by the main entrance. There were plenty of age-appropriate toys, books, learning materials, arts and crafts materials, and children's furniture available for the children. There was a fully charged 2A10BC fire extinguisher, and first aid supplies available in the daycare. LPA did not test the carbon monoxide and smoke detector due to napping. All sharp corners were covered. Per the licensee, there were no guns, no weapons, and no pets at home. The facility provides breakfast, AM/PM snacks, & lunch to the children. Cribs & playpen were available for napping. Boosters were available for feeding only. The children have to be removed from the boosters after they finish the meals. All electrical outlets were covered. The fireplaces were blocked by the shelves for toys. The lower kitchen cabinets and drawers were either latched or free of dangerous items. The licensee installed the carpets and soft cushioning on the daycare floor to prevent injury. The children's bathroom was clean. The licensee made the harmful objects inaccessible to the children in it. Potties were available for children in the bathroom. The backyard was completely fenced. There were plenty of age-appropriate toys, play house, and ride-on toys available for the children. A gate was installed at the yard entrance. The licensee installed the turf (fate grass) to the ground to prevent injury. The licensee conducts fire drills 2 times a year, the last fire drill was conducted on 9/2023. The licensee had current CPR/First Aid training certificates and Mandated Reporter Training (AB1207) available for review during the inspection. Per the licensee, there were no children on special medication. The licensee posted all the required postings in the daycare. LPA reviewed the children files and obtained a copy of the current children's roster during the inspection.
continues in LIC 809C
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: YONDONRENTSEN, ZAGDSODNOM
FACILITY NUMBER: 384004278
VISIT DATE: 03/13/2024
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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in 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 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 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
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: YONDONRENTSEN, ZAGDSODNOM
FACILITY NUMBER: 384004278
VISIT DATE: 03/13/2024
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MyChildCarePlan.org – Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Megan’s Law - During the exit interview, Zagdsodnom Yondonrentsen , 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.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, Zagdsodnom Yondonrentsen..
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
LIC809 (FAS) - (06/04)
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