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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004278
Report Date: 04/02/2024
Date Signed: 04/02/2024 10:13:46 AM

Document Has Been Signed on 04/02/2024 10:13 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:YONDONRENTSEN, ZAGDSODNOMFACILITY NUMBER:
384004278
ADMINISTRATOR:YONDONRENTSEN, ZAGDSODNOMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(628) 777-4866
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
04/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Zagdsodnom YondonrentsenTIME COMPLETED:
10:35 AM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management for the corrections that were listed on the advisory note on 3/13/2024. LPA met with the licensee, Zagdsodnom Yondonrentsen, and her husband, and explained the purpose of the inspection to her. 5 children including 3 infants upon LPA's arrival. Per the licensee, the helper is no longer working for her after the inspection on 3/13/2024, so she is looking for a helper while her husband works as a helper in her daycare. LPA inspected the yard for insect and weed removal requests listed in the advisory note. The licensee moved the weeds along the fence in the backyard. The licensee also gets rid of the flies in the play house. However, LPA observed mosquitos in the playhouse during the inspection. LPA cleared the corrections request listed on the advisory note dated 3/13/2024 during the inspection. In the meantime, LPA created another Advisory for another issue at the playhouse during the inspection. (See LIC 9102 )







This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
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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