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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004278
Report Date: 02/07/2025
Date Signed: 02/07/2025 02:54:03 PM

Document Has Been Signed on 02/07/2025 02:54 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 CC RO, 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: 8CENSUS: 5DATE:
02/07/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:03 PM
MET WITH:Zagdsodnom YondonrentsenTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On February 7, 2025, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced plan of correction (POC) visit to follow up on deficiencies cited on January 14, 2025. LPA met with the Licensee, Zagdsodnom Yondonrentsen, and explained the purpose of the visit.

Today’s visit included three pre-k children and two infants, along with the licensee and her husband.

On January 14, 2025, the facility received two deficiencies, CCR 102417(m)(3) and CCR 102425(j)(2)(D)(c).

During today’s visit, LPA reviewed sleeping check records for infants (ages 24 months and under), which indicate the facility checks on the children every 15 minutes and evidence of childcare insurance for her facility. LPA found that the sleeping check records were completed, and the childcare insurance was current

The two deficiencies cited on 1/14/2025 will be cleared during today’s visit.

Cleared POC letters were given to the licensee.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Zagdsodnom Yondonrentsen.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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