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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004546
Report Date: 02/14/2025
Date Signed: 02/14/2025 05:35:04 PM

Document Has Been Signed on 02/14/2025 05:35 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:LIU, JINGFACILITY NUMBER:
384004546
ADMINISTRATOR/
DIRECTOR:		LIU, JINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 349-1068
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
02/14/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:30 PM
MET WITH:Jing LiuTIME VISIT/
INSPECTION COMPLETED:
05:25 PM
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On February 14, 2025, Licensing Program Analyst (LPA) Van conducted an unannounced case management meeting with Licensee Jing Liu. The purpose of this inspection was to review and discuss the protocols regarding admission procedures, as well as the rights of parents and authorized representatives. During the complaint investigation, it was discovered that the licensee unintentionally released a child to a family member whose name was not on the Identification and Emergency Information form.

The licensee was reminded that a child should not be released to anyone without written authorization from the parent or authorized representative. Additionally, the licensee must secure a certified copy of a court order from the custodial parent before handing over the child.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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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