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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004673
Report Date: 03/24/2023
Date Signed: 03/24/2023 05:56:43 PM

Document Has Been Signed on 03/24/2023 05:56 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:SITU, DANGUIFACILITY NUMBER:
384004673
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
03/24/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Situ, DanguiTIME COMPLETED:
06:00 PM
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 On March 24, 2023., Licensing Program Analyst (LPA) Van met with Licensee Dangui Situ for an unannounced case management inspection. The inspection aimed to process a capacity increase requested by the Licensee. Present at the inspection is two children with the Licensee and her Aide. The hours of operation will be Monday through Friday, 8:00 AM - 6:00 PM. This facility has applied for a capacity increase from 8 to 14.
LPA inspected the facility for Health and Safety Hazards. The facility has no pools, spas, or other bodies of water. The facility has multiple smoke detectors, carbon monoxide detectors, fully charged fire extinguishers, and a working telephone. All the cleaning solutions, poisons, and other chemicals that are dangerous to the children are stored and inaccessible to the children. The facility has age-appropriate furniture. The furniture is steady and in good repair. The facility floor is in good repair and free of any hazards. All toilets and hand washing facilities are in working condition with proper sanitation. All the materials and surfaces accessible to the children are clean and toxic-free.
The department received an approved fire clearance from the San Francisco Fire Department on March 6, 2023. All required forms have been submitted to the department.
On this day, LPA reviewed capacity requirements with the Licensee. The handout was provided.
Capacity increase for large family child care home will be approved effective 3/24/2023.
Today's report and site visit notice was provided to the Licensee. LPA informed the Licensee that a site visit notification 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: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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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