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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004880
Report Date: 10/08/2024
Date Signed: 10/08/2024 04:12:03 PM

Document Has Been Signed on 10/08/2024 04:12 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:ZHANG, NANCYFACILITY NUMBER:
384004880
ADMINISTRATOR/
DIRECTOR:		NANCY ZHANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 971-6888
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
10/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Nancy ZhangTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst LPA Yee conducted a visit to inspect the backyard. The purpose of the visit was explained. Present at the facility are the licensee, Nancy, and one child. The backyard is inspected. It is under construction. Fire clearance for the backyard has been requested. Nancy will contact the fire Marshal once she is ready. LPA will return to the facility after fire clearance approval and the backyard is ready to be inspected.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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