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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004672
Report Date: 11/24/2025
Date Signed: 11/24/2025 04:36:46 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/20/2025 and conducted by Evaluator Jennifer Yee
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20251120143850
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:14CENSUS: 9DATE:
11/24/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Zhi Jian LuTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Facility is not following safe sleep requirements.
Facility is using unsafe equipment - bouncer.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Yee conducted a visit regarding the above allegations. The purpose of the visit was explained. Present during the inspection were the licensee, Zhi Jian Lu, helper and 9 children.

During the course of the investigation, LPA interviewed the Reporting Party (RP) and obtained a photo related to the allegation. Today LPA reviewed sleep logs and four infants files. Sleep logs were incomplete. Based on the information gathered, it was determined that the licensee was not following safe sleep requirements, and an infant bouncer was used for an infant while the infant was napping.

LPA’s determination is based on the photo obtained, interviews conducted, and files reviewes made during the on-site inspection. Therefore, the allegation is determined to be SUBSTANTIATED. The preponderance of evidence standard has been met.

Please see page LIC9099D for type A, and type B deficiency being cited today, under California Code of Regulations, Title 22, Division 12, Chapter 3.

Exit interview conducted and report was reviewed with Licensee, Zhi Jian Lu. Appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 05-CC-20251120143850
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: LU, ZHI JIAN
FACILITY NUMBER: 384004672
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/24/2025
Section Cited
CCR
102417(g)(10)
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Operation of a Family Child Care Home. (10)A baby bouncer, walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c).
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During today's visit, LPA did not observe baby bouncers and walkers in the playroom. Title 22 regulations were discussed. Licensee now understands that baby bouncers, baby walkers, Johnny Jumpers, exercausers are not allowed to be used during day-care hours and will comply with this requirement.
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 This requirement is not met as evidenced by: A photo was presented to LPA that a child was sleeping in one of the bouncers. The use of baby bouncers and baby walkers presents immediate health and safety risks to the children.
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 The deficiency is considered corrected and cleared today. This Type A citation page shall be posted for 30 days along with the Notice of Site Visit. This page shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB 633 requirements
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20251120143850
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: LU, ZHI JIAN
FACILITY NUMBER: 384004672
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/24/2025
Section Cited
CCR
102425(j)(2)
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102425: Infant Safe Sleep: The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:
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Title 22 regulations were discussed. A copy of the safe sleep regulations were provided. A blank sheet of sleep log was provided. Licensee now understands and said she will comply with the requirement.
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 This requirement is not met as evidenced by: LPA reviewed infants sleep logs and the sleep logs were incomplete. This presents protential health and safety risks to the children.
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The deficiency is considered corrected and cleared today.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3