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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004511
Report Date: 02/04/2025
Date Signed: 02/04/2025 04:40:07 PM

Document Has Been Signed on 02/04/2025 04:40 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LI, JIN ZHUFACILITY NUMBER:
384004511
ADMINISTRATOR/
DIRECTOR:
LI, JIN ZHUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 298-7005
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 9DATE:
02/04/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:03 PM
MET WITH:Jin Zhu Li and Jin Bo YuTIME VISIT/
INSPECTION COMPLETED:
04:55 PM
NARRATIVE
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On February 4, 2025, the Licensing Program Analyst (LPA) Van conducted an annual inspection and met with the Licensee, Jin Zhu Li, and her husband/assistant, Jin Bo Yu. LPA explained the inspection's purpose to the Licensee and was granted access to the residence. Upon entering the home, LPA noticed the children were waking up from their nap. The licensee and her assistant supervised 9 children (3 infants and 6 preschoolers). The licensee adheres to the licensing capacity and limitations. Staff and adult present at the time of the inspection had their criminal record clearances checked with the CDSS Background Check System and were found to have eligible clearance statuses on file.

The childcare area is provided on the first level only, consisting of a large room, a bathroom, and a backyard. Off-limit areas are the entire second floor and the garage. The days and hours of operation are Monday through Friday from 8:00 a.m. to 5:00 a.m. All off-limit daycare areas have been appropriately blocked off from the children.

LPA toured and inspected the childcare area to identify potential health and safety hazards. The childcare areas were found to be clean and well-organized. The home has age-appropriate books and activities aimed at encouraging learning and play among children. The home ensures sufficient heating, lighting, and ventilation, with no noted risks that could pose a danger to the children. No fireplace was observed.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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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: LI, JIN ZHU
FACILITY NUMBER: 384004511
VISIT DATE: 02/04/2025
NARRATIVE
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The home has a combination carbon monoxide and smoke detector and a fully charged fire extinguisher, with a minimum standard of 2A 10 BC. Cleaning supplies and disinfectants are stored out of children's reach. The licensee stated the home does not have any firearms or weapons. LPA observed no baby walkers, bouncers, or comparable items in the childcare areas. The licensee was reminded that smoking is prohibited in the family childcare home.

LPA observed a crib. The crib was found to be free of blanket or pillow. The mattress fit the dimensions of the crib, and the sheet fit snugly. According to the licensee, the youngest infant sleeps in the crib, and the two older infants sleep on mats. The sleeping logs for the infants were reviewed. Overall, the licensee maintained the logs properly, including the infants' names and checks in fifteen-minute increments. However, there were inconsistencies with the dates. The licensee mentioned that some infants did not sleep during nap time. It is recommended that the licensee document this in the log, noting specifically when an infant did not sleep on a given day. LPA reminded the licensee that sleeping sacks are prohibited.

During the visit, LPA reviewed the records for both children and personnel. The licensee keeps accurate records for each child, including vaccination records, parental rights forms, and complete emergency information. The licensee has maintained records of all essential licensing requirements, such as necessary immunizations, valid Pediatric First Aid CPR certifications, and mandated reporter training certificates. The Licensee has valid childcare liability insurance on file.

All the required licensing postings were observed posted. According to the licensee, regular fire and earthquake drills are conducted at least once every six months, with the most recent drills completed on 11/12/2024.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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: LI, JIN ZHU
FACILITY NUMBER: 384004511
VISIT DATE: 02/04/2025
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with the Licensees and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee 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.

Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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: LI, JIN ZHU
FACILITY NUMBER: 384004511
VISIT DATE: 02/04/2025
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LPA reviewed AB 1207 with the Licensees. 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.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

During the exit interview, the LICENSEE, JIN ZHU LI, confirmed that there are no Registered Sex Offenders living in the facility, and LPA completed the RSO profile in FAS.

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

An exit interview was conducted, and the report was reviewed with the licensee, Jin Zhu Li.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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