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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004449
Report Date: 08/12/2025
Date Signed: 08/12/2025 04:46:10 PM

Document Has Been Signed on 08/12/2025 04:46 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:YMCA SF CHINATOWN-TUNGLOK EARLY LEARNING CENTERFACILITY NUMBER:
384004449
ADMINISTRATOR/
DIRECTOR:		FLORES, GREGORYFACILITY TYPE:
850
ADDRESS:75 VALLEJO STREETTELEPHONE:
(415) 452-7582
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94111
CAPACITY: 36TOTAL ENROLLED CHILDREN: 26CENSUS: 22DATE:
08/12/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:18 PM
MET WITH:Lorena ZegarraTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On August 12, 2025, Licensing Program Analysts (LPAs) Van and Leong conducted an unannounced annual inspection in conjunction with the case management of an unusual incident that the center self-reported to the Department on July 30, 2025. LPAs met with the new Director, Lorena Zegarra. The purpose of the inspection was explained, and the Director granted LPA entry to the Center. Five staff members, including the director, supervised 22 children today. The facility complies with the staff-to-child ratio today.

All staff members present during the inspection had their criminal record clearances verified through the CDSS Guardian Background Check System and were found to have an eligible clearance status.

The unusual incident that occurred on July 30 involved a child with a food allergy, and an EpiPen was used. According to the report, the incident happened during lunch. C1 has a designated cup with soy milk at the table, but got distracted and grabbed a cup belonging to another child who had regular milk. A teacher sitting nearby noticed the incident and saw that C1 had red dots near their mouth. The director followed the center’s medical services plan, continued to monitor C1, and contacted C1’s family.

Following the incident, an immediate debriefing was held with all staff. Staff members were reminded of C1’s allergy protocol and the new procedures that have been implemented. The new procedures include placing a red sticker on C1’s chair, posting an allergy notice, and using a different-colored cup specifically for C1. LPAs reminded the Director to ensure all staff, including floaters and substitute teachers, review all children with food allergies and pay extra attention to them during lunch. This seems to be an isolated incident, and no deficiency was issued.


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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: YMCA SF CHINATOWN-TUNGLOK EARLY LEARNING CENTER
FACILITY NUMBER: 384004449
VISIT DATE: 08/12/2025
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LPAs and the Director toured and inspected the physical plant to identify potential health and safety hazards. The facility is well-maintained and has proper heating, lighting, and ventilation. The Center utilizes an electronic app called Care Connect for signing in and checking out. Upon review, the records confirmed all the children present were accounted for. Additionally, the center also uses a manual sign-in for staff members to check and verify the children present.

All classrooms are well-stocked with age-appropriate toys and educational materials. The furniture is sturdy and in good condition. Additionally, the facility is equipped with multiple combinations of smoke alarms and carbon monoxide detectors, as well as a fully charged fire extinguisher. All hazardous materials, including cleaning solutions and poisons, are kept inaccessible to children. Sleeping cots are appropriately stored.

LPAs observed that each child has an individual cubby. All emergency equipment is secure and locked. All children's medications were reviewed and confirmed to have parental consent. LPAs reminded the director that all medications provided by families must be in their original containers, along with the instructions.

All children's toilets and handwashing sinks are in good working condition and have proper sanitation. There is a separate bathroom for staff use on the premises. LPAs observed no bodies of water on the premises.

The facility currently holds an outdoor waiver from the Department, which allows a maximum of 27 children in the playground at one time, and a rotational schedule is required. The outdoor play area is maintained clean and free of debris. The outdoor play area is completely fenced, clean, and well-maintained. The play structure has soft cushions underneath it to minimize the risk of serious injuries in the event of accidental falls. LPAs reminded the director that the sandbox area is to be checked daily before the children play in it.



An updated license and outdoor waiver were provided to the director, and LPAs informed the director to post them.
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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
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: YMCA SF CHINATOWN-TUNGLOK EARLY LEARNING CENTER
FACILITY NUMBER: 384004449
VISIT DATE: 08/12/2025
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The director stated that the center provides breakfast, lunch, and snacks, which are catered through a third-party vendor called Chefables. All storage containers for solid waste within the Center have a proper, tight-fitting cover.

All the required postings were observed, including the facility License, Notification of Parent Rights, Personal Rights, Car Seat Law, Emergency Disaster Plan, waiver, and Daily activities.

During the inspection, LPAs reminded the director about the overdue annual fee and provided all the online payment PIN numbers. During the visit, the center paid the fee and provided the LPAs with proof of payment receipt.

Random children's records and personnel records were reviewed during the inspection. The review of records revealed that the facility maintains complete records for each child, including immunization records, admission agreements, emergency contact information, and personal rights. Staff records indicate that all staff members or individuals requiring caregiver background checks have received criminal records and child abuse index clearances or exemptions. Multiple staff members hold valid CPR certifications and have up-to-date mandated reporter training.

The Director stated that the Center conducts fire and earthquake drills at least once every six months; the last drills were conducted on July 1, 2025.

Director was reminded that all adults 18 and over, 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 Child Care Center. 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.


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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: YMCA SF CHINATOWN-TUNGLOK EARLY LEARNING CENTER
FACILITY NUMBER: 384004449
VISIT DATE: 08/12/2025
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CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director 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.

LPA discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one-hour online course is available on the Department of Pesticide Regulation's website: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the new Director, Lorena Zegarra.

NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
LIC809 (FAS) - (06/04)
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