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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004382
Report Date: 06/20/2024
Date Signed: 06/20/2024 01:22:39 PM

Document Has Been Signed on 06/20/2024 01:22 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:ZHEN, JIANCIFACILITY NUMBER:
384004382
ADMINISTRATOR/
DIRECTOR:
ZHEN, JIANCIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 769-6147
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
06/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Jianci Zhen (Cecelia)TIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, Jianci Zhen (Cecelia), and two helpers. All adults have fingerprint clearance. LPA explained the purpose of the inspection to her. The LPA observed 8 children including 2 infants with 2 helpers and the licensee during the inspection. The daycare is called " COLBY DAYCARE", and the operation hours are Monday to Friday from 8 AM to 6 PM. The licensee rents and lives in this 2 stories single-family house by herself. The house has a living room, a dining room, a kitchen, a bathroom, and a bedroom on the upper level; an in-law including a bedroom and a bathroom, a garage, and a backyard on the ground level. Per the licensee, the landlord rents an-law to someone who is waiting for his fingerprint clearance before moving in. The potential renter's fingerprint clearance is in process status when LPA checks it in CCL's system during the inspection. The daycare areas are the entire upper level and the #1 & #2 outdoor play areas. The off-limit areas are the entire lower level including an in-law, a garage, the area under the deck, and outdoor play area #3 (the upper area). LPA inspected the facility for health and safety hazards. The facility was clean and in order, temperature and lighting were adequate, and the toxins and harmful objects were inaccessible to the children in care. There were plenty of age-appropriate toys, books, learning materials & equipment, different sizes of soft blocks, wooden play kitchens & sinks, and children's furniture that were in good condition and repair. There was a fully charged 2A10BC fire extinguisher, a working cellular phone, at least one working 2in 1 smoke and carbon monoxide detector, and first aid supplies available in the facility. The licensee installed gates at the stairway, entrances of the kitchen, and main play areas, All sharp corners and electrical outlets were covered. The windows in the living room had built-in child-proof window locks that limit the window to be opened up to 4 inches. The licensee installed the soft cushioning on the entire floor to prevent injury. Cots, playpens, and cribs were used for napping. Boosters and high chairs were available for feeding only; children had to be removed from there after the meal. The children's bathroom was clean and free of harmful objects. The lower bathroom sink drawers were latched. Per the licensee, there were no guns, weapons, or pets at home. The facility has provided breakfast, AM/PM snacks, lunch, and dinner to daycare children; the children may bring their food if necessary. The outdoor play areas were completely fenced. The children enter the yards from the deck adjacent to the licensee's room. Gates were installed at the stairways. There were some play structures, ride-on-toys, and children's furniture that were in good condition and repair available for the children. Per the licensee, there were no children on special medication. The licensee and 2 helpers had current CPR/First Aid training that will expire on 8/6/2024 & 8/12/2025 and mandated Reporter training that will expire on 2/2025 & 3/2025. The licensee has conducted the disaster drill 2 times a year and logged. LPA also reviewed the children and staff files, and the 15-minute nap check log and obtained a copy of the current children's roster during the inspection, The facility posted all the required postings.
continues in LIC809C
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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: ZHEN, JIANCI
FACILITY NUMBER: 384004382
VISIT DATE: 06/20/2024
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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 [or facility representative] 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 [or facility representative] 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: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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: ZHEN, JIANCI
FACILITY NUMBER: 384004382
VISIT DATE: 06/20/2024
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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, Jianci Zhen (Cecelia), 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, Jianci Zhen (Cecelia)
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC809 (FAS) - (06/04)
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