384004990-1-30-2025-05-CC-ZBAK-DDERE7-20250130115703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004990
Report Date: 01/29/2025
Date Signed: 01/30/2025 01:04:09 PM

Document Has Been Signed on 01/30/2025 01:04 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	NG, OI MING		FACILITY NUMBER:	384004990
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS:	DATE:	01/29/2025
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:53 AM
MET WITH:	Oi Ming Ng		TIME VISIT/ INSPECTION COMPLETED:	01:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On January 29, 2024, around 9:00 a.m Licensing Program Analyst (LPA) Zeynep Basak conducted a scheduled pre-licensing inspection and met with the applicant Oi Ming Ng. The applicant's primary language was Cantonese, and her cousin was there to help with translation during the pre-licensing. The applicant rents a 1-bedroom, 2-bathroom unit and the home resident is only the applicant. LPA verified the applicant's background clearance on the Guardian website. The applicant plans to operate from 8:00 a.m. to 5:30 p.m. Monday through Friday. The childcare areas: are the main room (playroom), hallway, children's bathroom, bedroom, kitchen, dining room, part of the pantry area to pass through, and the backyard. Off-limit areas are bathroom #2, two storage closets in the hallway, the art supply area (in the pantry area), and the stairs area with a door outside (front yard) in the backyard. The applicant stated there are no children enrolled at that moment yet. LPA and the applicant inspected the entire home for Health and Safety Hazards. All off-limit areas, including closets, are adequately locked and barricaded. LPA observed all chemicals are stored in a locked cabinet and made inaccessible to children, and all outlets are properly covered and windows have locked. LPA observed the fireplace in the dining room and found it was properly barricaded. The daycare has sufficient age-appropriate toys, furniture, cabbies, and educational materials. LPA observed mats and the applicant stated children will bring sheets and blankets from home. See page 2.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NG, OI MING	FACILITY NUMBER: 384004990
	VISIT DATE: 01/29/2025

NARRATIVE

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Per the applicant, they will buy cribs if any infant enrolls in their program and LPA observed there were no health and safety hazards in the napping room, and safe sleep regulation was informed to the applicant- that cribs should have no bumper pad, toys, blanket, or pillow inside and no objects hanging above the cribs. All mattresses shall be designed for cribs, and bedsheets should be tight-fitted. Highchairs are used only when children are eating/feeding. In addition, the applicant was advised to check on the infant every 15 minutes during naptime physically, and documentation shall be maintained in the infant's file and be available to the Department for review.

The applicant was informed that NO baby walkers, exer-saucers, jumpers, bouncers, and similar items for children in care not permitted. LPA also reminded the applicant that smoking is prohibited at the daycare.

LPA observed the children's bathroom is clean and sanitary, and no chemicals in the children's reach.

LPA and the applicant inspected the outdoor play area and found there were adequate play materials such as play structures, and bikes for children during outdoor playtime.

Per the applicant, there are no firearms or weapons, and no bodies of water in the home. The isolation area for sick/ill children will be the dining room to wait for their guardians to arrive.

The home has a working smoke alarm & carbon monoxide detector in the playroom, LPA observed two fire extinguishers in size 2A10BC in the hallway and the kitchen.

The applicant plans to provide breakfast, lunch, and snacks for children in addition to drinking water.
The applicant stated they currently do not have liability insurance for the daycare.

All required postings and records to be maintained were consulted and reviewed with the applicant. LPA advised the applicant to conduct an emergency drill once every six months and document the practice. The applicant was informed to obtain a copy of regulations and current licensing forms through the Department's website at www.ccld.ca.gov.

See page 3.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NG, OI MING	FACILITY NUMBER: 384004990
	VISIT DATE: 01/29/2025

NARRATIVE

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LPA discussed the safe sleep regulations with the applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

The applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

See page 4.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NG, OI MING	FACILITY NUMBER: 384004990
	VISIT DATE: 01/29/2025

NARRATIVE

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LPA also reminded the applicant of the Family Childcare Home License's responsibilities and Reporting Requirements. The applicant was advised to post the License when she received it.

On this date, 01/29/2025, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The applicant was informed Desk duty is available Monday - Friday, 8:00 am - 5:00 pm. (650) 266-8800.

There was no item/place to be fixed prior to the licensure observed by the LPA.

An exit interview was conducted and the report was reviewed with the applicant, Oi Ming Ng.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

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