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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004886
Report Date: 09/11/2025
Date Signed: 09/11/2025 04:10:40 PM

Document Has Been Signed on 09/11/2025 04:10 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:STAR BRIDGE MANDARIN INC.FACILITY NUMBER:
384004886
ADMINISTRATOR/
DIRECTOR:		PEIFEN CYNTHIA WANGFACILITY TYPE:
860
ADDRESS:608 TARAVAL STREETTELEPHONE:
(415) 966-8109
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
09/11/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Peifen Cynthia WangTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On September 11, 2025, Licensing Program Analysts (LPA) Van and Tse conducted a case management inspection to discuss alternative outdoor play area options due to the facility's limited outdoor space. LPAs met with the current director/owner, Peifen “Cynthia” Wang. The purpose of the inspection was explained, and access to the center was granted. The center has received approval from the Park and Recreation Department to use Larsen Playground, located at 19th Avenue and Vicente, San Francisco, CA 94116, approximately 0.4 miles (a 10-minute walk) from the facility.

The center plans to take nine children to the park at a time, using two rotating schedules. According to the plan, the first group will depart from the school at 9:45 AM and arrive at the park around 10:00 AM, where they will stay for one hour. The second group will start leaving the center at approximately 10:45 AM, so they will arrive at the park just as the first group departs at 11:00 AM. According to the director, there will always be two qualified teachers accompanying the children.

During the inspection, the Director gave LPAs a tour of Larsen Playground. LPAs and the Director walked to the park, which was about four and a half blocks away, and it took roughly 11 minutes. Therefore, the time it takes for children to walk there may vary. Crosswalks were observed to contain pedestrian crossings marked by a white parallel line or crosshatch at each intersection, and all had either traffic lights or stop signs. However, there is a major intersection on 19th Avenue that children will need to cross, which presents a potential safety concern. Children will have to cross a six-lane road, with three lanes in each direction, where heavy traffic sometimes occurs in both directions. The speed limit on 19th Avenue is 30 MPH.


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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: STAR BRIDGE MANDARIN INC.
FACILITY NUMBER: 384004886
VISIT DATE: 09/11/2025
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A recommendation was discussed with the Director regarding the concern at the 19th Avenue crossing. LPAs suggested that a teacher could serve as a crosswalk guard by wearing a reflective vest and holding a stop sign to ensure the children cross safely. Additionally, children should wear identifying shirts, hats, and jackets, and use a rope to guide them safely along the route to the park.

The park was observed to be clean and free of debris, and it has restroom facilities for children. However, the playground is not fenced. During the visit, supervision, staff positioning, and bathroom concerns were reviewed with the director. According to the director, the plan is to have all children use the bathroom upon arrival at the park. Staff will position themselves at each end of the play structure areas.

LPAs observed two play structures: one designed for children aged 2-5 years, suitable for preschoolers, with ample space to run and play. The other structures, shaped like planes and rope climbing frames, were not age-appropriate for preschoolers, and LPAs informed the director that preschool-age children should not use them. The climbing equipment is cushioned with soft padding to provide a safe surface. LPAs noted that playground equipment was securely anchored to the ground. Additionally, LPAs observed no bodies of water.

LPAs discussed and informed the Director that the play structures should be used as intended, and center staff must ensure that the park is cleared of all debris or harmful materials before each use. There should be a ratio of one staff member to every six preschool children when going to and from Larsen Park and while using the playground, and all staff must be qualified teachers. Parents and volunteers are not included in the ratio. Additionally, children should never be left alone while using any restroom. Restrooms should be checked for safety or cleanliness concerns prior to use by children.

During the visit, LPAs requested that the director/owner submit the plan to the Department, which will include details on how drinking water is available for children, extra toiletries, emergency first aid kits, emergency information, and consent forms for medical cards for the children to take to the park. Additionally, this plan shall discuss documentation of the park usage schedule, outlines of routes to the park, and other safety precautions the center takes to ensure children's safety when walking to or participating in park activities.


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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
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: STAR BRIDGE MANDARIN INC.
FACILITY NUMBER: 384004886
VISIT DATE: 09/11/2025
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During the inspection, LPAs also discussed the director’s licensed family child care home, facility #384004154, with her. LPAs informed the director/owner that, as a center director, she cannot have outside employment that interferes with her duties. According to the director/owner, she plans to close her childcare home once her center is approved for a license. LPAs informed the director/owner about the license closure requirements and advised her to submit an official request that documents her family child care home’s closure and to return the original license to the caseload analyst.

The open space waiver is pending management review and approval.

An exit interview was conducted, and the director/owner, Peifen Cynthia Wang, reviewed and signed the report.

The report was printed and provided to the director/owner.

NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC809 (FAS) - (06/04)
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