<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004278
Report Date: 06/05/2024
Date Signed: 06/05/2024 09:51:30 AM

Document Has Been Signed on 06/05/2024 09:51 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/
DIRECTOR:		YONDONRENTSEN, ZAGDSODNOMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(628) 777-4866
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
06/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Zagdsodnom YondonrentsenTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection for an issue listed on the advisory note on 4/2/2024. LPA met with the licensee, Zagdsodnom Yondonrentsen, and a helper and explained the purpose of the inspection. All adults have fingerprint clearance. There were six children including three infants and three preschoolers with a helper present during the inspection. The issue listed in the advisory note on 4/2/2024 regarding the mosquitos in the playhouse in the backyard. LPA inspected the backyard for health and safety hazards. The licensee removed the playhouse from the backyard. LPA did not see any mosquitos in the backyard anymore during the inspection. The issue has been resolved.

*No deficiency was cited during the inspection.



This report and notice of the site visit were discussed with the licensee and must be made available to the public upon request. For quarterly updates on Licensing information, go to the 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: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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 1