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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004672
Report Date: 03/04/2024
Date Signed: 03/04/2024 02:05:43 PM

Document Has Been Signed on 03/04/2024 02:05 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:LU, ZHI JIANFACILITY NUMBER:
384004672
ADMINISTRATOR:LU, ZHI JIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 279-4707
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
03/04/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Zhi Jian Lu aka JulieTIME COMPLETED:
02:30 PM
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Licensing Program Analyst, LPA Yee conducted a follow-up inspection today. The purpose of the visit was explained. Present at the facility are the licensee, Julie, 2 helpers, and 7 children. The purpose of the visit is to clear the citations cited on 2/15/2024. The following citations have been corrected.

102416.1(a)(6): Child abuse training certificate for staff #2 was received on 2/20/2024
1597.622(a((1): Immunization for staff #1 was received on 2/20/2024

However, based on today's inspection, the citation cited on 102352(h)(1)(b) is still questionable. LPA asked the licensee if she preferred to speak with the certified Chinese bilingual to explain to her the Title 22 regulations. The licensee said yes. An hour later, LPA Mok joined the visit and explained the Title 22 regulations to Ms. Lu. in Cantonese. LPA will discuss this case with LPM when return to the office.

In addition, Julie requested to add bedroom #2 as part of the daycare. LPAs inspected and approved. Daycare areas: living room, bedroom #2 for napping, kitchen. bathroom near the kitchen, bathroom is located in the front and backyard.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2024
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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