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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004723
Report Date: 11/15/2023
Date Signed: 11/15/2023 04:28:24 PM

Document Has Been Signed on 11/15/2023 04:28 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:LIU, LITINGFACILITY NUMBER:
384004723
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 2DATE:
11/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Liting LiuTIME COMPLETED:
04:45 PM
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Licensing Program Analyst, LPA Yee conducted a case management visit today. The facility has requested to increase her capacity to a large capacity. Fire clearance was approved on 09/19/2023. LPA and Ms. Liu toured the daycare areas. There are two children in care today. Total enrolled is 4 children.

Day Care Areas : living room, dining room, kitchen, bathroom and backyard Ms. Liu wishes to add bedroom #2 for infants nap room. She will submit picture once she clean up bedroom #2 Off-limit areas: bedroom #1; the entire attic rooms, basement rooms and part of the yard.

Based on today's inspection, large license is approved effective today, 11/15/2023.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
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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