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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004683
Report Date: 02/27/2023
Date Signed: 02/27/2023 03:57:44 PM

Document Has Been Signed on 02/27/2023 03:57 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, SHAO HUAFACILITY NUMBER:
384004683
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 1DATE:
02/27/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Shao Hua Wang (Eva)TIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Mok conducted an announced Prelicensing inspection today. LPA met with WANG, SHAOthe licensee, Shao Hua Wang (Eva), and licensee's husband. There was a daycare infant present during the inspection. The licensee applied for relocation on 2/8/2023. The licensee had the existing licensed daycare in San Francisco (#384002363). The licensee owned and lived with her husband, and her minor son in this 2 stories single family house. The house had 2 bedrooms, a bathroom, a living room, a dining room and a kitchen on the upper level; it also had a garage and a backyard on the lower level. The licensee had completely moved into this house. The daycare areas will be the a living room, a dining room, and a bathroom. The off-limit areas will be a kitchen, 2 bedrooms, and a backyard. LPA inspected the house for health and safety hazards. The house was clean and in-order; temperature and lighting were adequate; toxins and harmful objects were made inaccessible to the children. The licensee blocked the fireplace with a cabinet that stored the toys. There were plenty of the age-appropriate toys, books, learning materials, fake kitchen, ride-on toys and children's furniture that were in good condition and repaired available indoors. All the sharp corners were covered. The licensee installed the window lock the living room windows allowing the windows to be opened up to 4 inches. There were a fully charged 2A10BC fire extinguisher, at least a working 2 in 1 smoke and carbon monoxide detector, working cellular phone, and first aid supplies available in the house. The licensee installed the soft cushioning to the floor in the daycare areas to prevent injury. The children's bathroom was clean and free of harmful objects. The lower bathroom sink cabinet was free of harmful object. The licensee had the childproof knobs to install to the children's bathroom door. Cribs and play pen were available for napping. Per licensee, there were no weapons, no guns, and no pets in the house.

The following items have to be completed before licensure:
  • install a window lock to the window in the dining room.
  • install a gate at the stairway, and kitchen entrance.
  • licensee needs to block or barricade the wood railing by the stairway


This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
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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