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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004555
Report Date: 07/08/2024
Date Signed: 07/08/2024 01:22:38 PM

Document Has Been Signed on 07/08/2024 01:22 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:CHEN, XIAOLIFACILITY NUMBER:
384004555
ADMINISTRATOR/
DIRECTOR:		CHEN, XIAO LIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 806-6988
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
07/08/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:XIAOLI CHEN (SELINA)TIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, XiaoLi Chen (Selina), and two helpers with fingerprint clearance. LPA explained the purpose of the inspection to them. All adults have fingerprint clearance. LPA observed ten children including three infants and five preschoolers with 2 helpers & the licensee during the inspection. The facility is called Smiley Baby Family Child Care, and the operation hours are Monday to Friday from 8 AM to 5:30 PM. The licensee owns and lives with her husband, her two minor children, and father & mother-in-law in this 2 stories Single Family house that has 3 bedrooms, 2 baths, a kitchen, a living room, and a dining room on the upper level: a bedroom (licensee's room), a family room, a bathroom, and a food preparation area, a garage, a deck and a backyard on the lower level. The daycare areas are the entire lower level including a family room, a main playroom, a food preparation area, a bathroom, a deck, and a backyard, except the licensee's room. The Off-limit areas are the entire upper level, a licensee's room, and a garage on the lower level. LPA inspected the facility for health and safety hazards. The facility was clean and in order, temperature and lighting were adequate, and all toxins and harmful items were made inaccessible to the children. The licensee installed a Surveillance Camera System in the daycare areas. There were plenty of age-appropriate toys, books, learning materials and equipment, and children's furniture that were in good condition and repaired indoors. There was a fully charged 2A10BC fire extinguisher, working smoke and carbon monoxide detectors, a working cellular phone, and first aid supplies available in the daycare areas. The right amount of cubbies allowed the children to store their personal belongings in the main playroom. Boosters were available for feeding only. Mats and cribs were available for napping. The licensee also installed a childproof window lock to the windows to prevent injury. The licensee installed additional gates at the main entrance to prevent children from accessing the off-limits areas. The licensee installed soft cushioning on the floor to avoid injury in the main playroom partially. The licensee covered all the electrical outlets and sharp corners in the daycare areas. The licensee installed childproof knobs on the doors of the licensee's bedroom and the children's bathroom. The children's bathroom was clean and the toxins items were made inaccessible to the children. The lower sink cabinets and drawers in the food preparation areas were either latched or free of harmful objects. The licensee has provided Breakfast, AM/PM snacks, lunch, and dinner to daycare children. The outdoor play yards and deck were completely fenced. The licensee installed a gate at the stairway on the deck. The licensee also installed the soft cushioning to the ground and shade above the middle of the main play areas. There were plenty of age-appropriate toys, see-saw, slide, playhouses, ride-on toys, water tables, other toys, and children's furniture that were in good condition and repair. The licensee installed a childproof door chime at the gate in the play yard. The licensee conducts the disaster drills every 2 months and logs. Per the licensee, there was a child on special medication. LPA inspected the storage of the medication and documents during the inspection. LPA reviewed the children and staff files, and 15-minute nap log and obtained a copy of the children's roster during the inspection. The licensee posted all the required documents in the daycare areas. The licensee subscribes to Family Child Care Insurance which will expire in 3/2025.
continues in LIC809C
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: CHEN, XIAOLI
FACILITY NUMBER: 384004555
VISIT DATE: 07/08/2024
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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in home, 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 licensed Family Child Care Home. 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.

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

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: CHEN, XIAOLI
FACILITY NUMBER: 384004555
VISIT DATE: 07/08/2024
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MyChildCarePlan.org – Licensee 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.

Megan’s Law - During the exit interview, Chen, XiaoLi (Selina), confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, Chen, XiaoLi (Selina).
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC809 (FAS) - (06/04)
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