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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004450
Report Date: 04/07/2026
Date Signed: 04/07/2026 03:40:57 PM

Document Has Been Signed on 04/07/2026 03:40 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:YMCA SF CHINATOWN-TUNGLOK EARLY LEARNING CENTERFACILITY NUMBER:
384004450
ADMINISTRATOR/
DIRECTOR:		ZEGARRA, LORENAFACILITY TYPE:
830
ADDRESS:75 VALLEJO STREETTELEPHONE:
(415) 452-7582
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94111
CAPACITY: 21TOTAL ENROLLED CHILDREN: 17CENSUS: 15DATE:
04/07/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Lorena ZegarraTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
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On April 7, 2026 at approximately 12:30pm, Licensing Program Analyst (LPA) Quimbo conducted a case management visit to facility. LPA met with director, Lorena Zegarra, and explained the purpose of the visit.

Facility is a combination center with preschool and infant components. Infant component operates in two classrooms: "Forest" (3 months to 24 months) and "Mountain" (12 months to 24 months) classrooms.

Present during LPA's visit included 15 infant children and 6 teaching staff: 8 infants with 3 teaching staff in the "Forest" classroom and 9 infants with 3 teaching staff in the "Mountain" classroom.

During LPA's visit, LPA observed infant children to be sleeping in both classrooms. LPA observed in the "Forest" classroom, 2 infants sleeping in infant bouncers and 1 infant sleeping in an infant swing. LPA also observed 1 infant sleeping in a crib and 4 infants sleeping on floor cots. LPA informed director that once an infant falls asleep, they are to be moved to a crib.

Director stated infants are bounced in the infant bouncer prior to falling asleep. Director informed teaching staff in classroom to move sleeping infants from bouncer during LPA's visit. Director stated they will remove infant bouncers and address infant sleeping with teaching staff.

LPA issued one Type deficiency for infants sleeping in an infant bouncer and an infant swing. A plan of correction was discussed. Appeal rights were provided.

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

Exit interview conducted and report was reviewed with facility director, Lorena Zegarra.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2026
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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Document Has Been Signed on 04/07/2026 03:40 PM - It Cannot Be Edited


Created By: Catrina Quimbo On 04/07/2026 at 03:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: YMCA SF CHINATOWN-TUNGLOK EARLY LEARNING CENTER
FACILITY NUMBER: 384004450

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/10/2026
Section Cited
CCR
101430(a)(3)(E)

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101430 Infant Care Activities (a)(3)(E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
This requirement was not met as evidenced by:
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Director stated infants are bounced in the infant bouncer prior to falling asleep. Director informed teaching staff in classroom to move sleeping infants from bouncer during LPA's visit.
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Based on observation and interview, the facility did not comply with above. LPA observed 2 infants sleeping in infant bouncers and 1 infant sleeping in an infant swing. This poses a potential health, safety or personal rights risk to children in care.
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Director stated they will remove infant bouncers and address infant sleeping with teaching staff. Director will discuss sleeping regulations with infant staff. Proof of discussion to be submitted to LPA via email by POC due date.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Catrina Quimbo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2026


LIC809 (FAS) - (06/04)
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