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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004483
Report Date: 11/13/2023
Date Signed: 11/13/2023 02:57:20 PM

Document Has Been Signed on 11/13/2023 02:57 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:LI, SUSANNA YANNAFACILITY NUMBER:
384004483
ADMINISTRATOR:LI, SUSANNA YANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 218-0633
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/13/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Susanna Yanna Li, Roger ChenTIME COMPLETED:
03:00 PM
NARRATIVE
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An informal office meeting was conducted at the San Bruno Child Care Regional Office on 11/13/2023. Present at the meeting are Licensing Program Manager (LPMs) Garfield Leung, Ali Zebila, Licensing Program Analysts (LPAs) Jennifer Yee, Jonathan Tso, the licensee Susanna Li, and her son Roger Chen. The purpose of this meeting was to discuss the history of the following issues.

1) The licensee primary residency.

2) The licensee is not at the facility 80% of the time.

3) Safe Sleep Law

During the meeting, Licensee discussed her plans with LPMs, Ms. Li stated that she will turn on the heater to a comfortable temperature to 72F-73F degree. Title 22 Regulations were discussed. Licensee was advised "Home" means the licensee's residence, it is the place where one remains when not called elsewhere for labor or other special or temporary purpose. There can only be one residence”.



Also, the licensee must be present during the daycare operation hours to ensure that children are properly supervised.

Safe Sleep law regulations was explained, and a copy of the safe sleep law regulations was provided during the meeting. As well as "operation of a family child care home" regulations was provided.
For Fingerprint association, Ms. Li said she understands how to fill out the form now and will make sure the helpers are associated prior to working at the facility.

The licensee was advised that the facility will be visited more frequence.

Report was read and reviewed by all parties. Copy of this report was provided to Licensee, Susanna Li.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2023
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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