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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004878
Report Date: 10/23/2024
Date Signed: 10/23/2024 11:19:51 AM

Document Has Been Signed on 10/23/2024 11:19 AM - 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:CHINESE AMERICAN INTERNATIONAL SCHOOLFACILITY NUMBER:
384004878
ADMINISTRATOR/
DIRECTOR:		CHU HSI TSENGFACILITY TYPE:
860
ADDRESS:3250 19TH AVENUETELEPHONE:
(415) 865-6088
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 103DATE:
10/23/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Chu Hsi TsengTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On October 23, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced case management inspection at the facility above. LPA met with Director Chu Hsi Tseng. The purpose of the inspection was to inspect the new playground for health and safety hazards and incorporate the playground into the license. Twenty two staff members and the Director supervised 103 children.

The playground is fully enclosed, well-kept, and free of any potential dangers. It has outdoor deck areas accessible from the classrooms. The playground is divided into two sections by wooden fences. There's a smaller yard for children aged 2-3 and a larger yard for children aged 3-5. The play equipment is safe and suitable for each age group, and sand areas are available for both yards. The climbing structure is securely built, with no loose or sharp parts, and the floor has ample cushioning to prevent injuries from falls. Soft rubber cushioning is placed around and under high climbing equipment. The larger yard features a hill-shaped structure complete with a slide. There are no ponds, pools, or bodies of water in or around the playground. The children bring their water bottles to the yard, and there is a refillable water station on the deck that is easily accessible for refills.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: CHINESE AMERICAN INTERNATIONAL SCHOOL
FACILITY NUMBER: 384004878
VISIT DATE: 10/23/2024
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During the inspection, the playground was measured and found to have a total area of 8272 sq ft. Based on this measurement, it can accommodate 110 children at a time. The Director mentioned that the playground is also going to be shared with the kindergarten children. Since the Center is licensed for 120 children and the outdoor playground is not big enough to accommodate its licensed capacity, it must request an outdoor rotational waiver and specify that the preschool and Kindergarten will share the outdoor playground and their scheduled usage. Additionally, the center must submit updated sketches of the playgrounds to the Department by November 6, 2024.

LPA recommends that if children are playing in the deck areas, teachers should be positioned by the entrance of the ramp to prevent them from going down. Teachers must always supervise the children when they go down the ramp to the playground. Additionally, LPA advises the Director that children should not open the metal gate in the deck areas alone without teachers' supervision to avoid accidental finger/hand jams.

As of today, October 23, 2024, the playground is incorporated into the childcare license.

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



Exit interview conducted and report was reviewed with the Director, Chu Hsi Tseng.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
LIC809 (FAS) - (06/04)
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