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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004799
Report Date: 11/20/2024
Date Signed: 11/20/2024 02:34:08 PM

Document Has Been Signed on 11/20/2024 02:34 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:CHEN, MIAOXINFACILITY NUMBER:
384004799
ADMINISTRATOR/
DIRECTOR:		CHEN, MIAOXINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 741-8995
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 9DATE:
11/20/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:MiaoXin ChenTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On November 20, 2024, Licensing Program Analyst (LPA) Van met with the Licensee, MiaoXin Chen, for an unannounced inspection of the Plan of Correction (POC). The purpose of the inspection was explained, and the Licensee granted LPA entry to the home. Upon entering the home, LPA observed the children napping; nine children were in care with the Licensee and a helper today (four infants and five preschoolers).

A Type A citation was issued during the November 12, 2024, annual inspection. The Licensee’s helper cared for nine children alone while the licensee was not home. As stated in section 102416.5(e). If no assistant provider is present at a Large Family Childcare Home, then the facility shall comply with the capacity requirements for a Small Family Childcare Home.

During today's inspection, LPA inspected the home and confirmed that the licensee was in compliance with her licensed capacity and limitations. LPA observed nine children being supervised by both the licensee and her helper, which is within the permitted limits. Furthermore, the licensee submitted a written plan outlining protocols designed to prevent a similar incident from recurrence. As a result, the Type A deficiency cited on November 12, 2024, has been cleared as of today.

No deficiencies were observed in today's inspection.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with the licensee, MiaoXin Chen. Her helper translated and read it to the licensee.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2024
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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