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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004607
Report Date: 01/24/2025
Date Signed: 01/24/2025 11:49:11 AM

Document Has Been Signed on 01/24/2025 11:49 AM - 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:CHEN, HELEN Y.FACILITY NUMBER:
384004607
ADMINISTRATOR/
DIRECTOR:		CHEN, HELEN Y.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 385-9552
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
01/24/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:18 AM
MET WITH:Helen ChanTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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An informal office meeting was conducted at the San Bruno Regional Office. Licensing Program Manager (LPM) Ali Zebila, Licensing Program Analyst (LPA) Man Tso, and Licensee, Helen Chen were present at the meeting. The purpose of this meeting was to discuss the following deficiencies cited within the last 2 years.

1) Staff with no fingerprint clearance and/or not associated.
2) Inspection Authority
3) One staff supervising 11 children
4) No roster
5) No sleep log
6) No and/or incomplete staff files
7) No and/or incomplete children's files
8) Repeated violations
9) Licensee's residency in daycare home

The Licensing Program Manager (LPM) explained the purpose of the meeting and discussed the history of the facility and wanted the Licensee in compliance. During the meeting, LPM informed the Licensee that the Licensee's case would be forward to the Department's legal unit for evaluation.

Licensee agreed to participate the Technical Support Program (TSP) to ensure the compliance. The Licensee was informed to be under monitoring by the Regional Office.

The report was read and reviewed by all parties. A copy was provided to Licensee, Helen Chen.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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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