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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004602
Report Date: 03/08/2024
Date Signed: 03/08/2024 04:17:52 PM

Document Has Been Signed on 03/08/2024 04:17 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:WANG LIM,MELANIEFACILITY NUMBER:
384004602
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
03/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Melanie WangTIME COMPLETED:
04:30 PM
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On March 8, 2024., Licensing Program Analyst (LPA) Van conducted unannounced case management and met with the Licensee, Melanie Wang. The Purpose of this inspection was to incorporate the lower section of the backyard area into the day care. Today, the Licensee supervised four children (3 infants and one preschool)

LPA inspects the current daycare areas and the newly requested backyard for health and safety hazards. LPA observes that the backyard is clean, orderly, and completely fenced. The children's playthings and equipment are in good repair and clean. The licensee has fenced off the stairs leading to the upper backyard. The Licensee has also installed soft padding cushions in the yard to prevent fall injuries.

As of March 8, 2024, the lower section of backyard area is now incorporated into the day care. The Licensee read and signed the report. Today's report and site visit notice was provided to the Licensee. LPA informed the Licensee that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2024
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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