<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002390
Report Date: 03/08/2024
Date Signed: 03/08/2024 02:13:12 PM

Document Has Been Signed on 03/08/2024 02:13 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:KIDS KONNECT PRESCHOOLFACILITY NUMBER:
414002390
ADMINISTRATOR:HO, INGRIDFACILITY TYPE:
850
ADDRESS:2450 SKYLINE BLVD.TELEPHONE:
(650) 359-4321
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY: 42TOTAL ENROLLED CHILDREN: 40CENSUS: 32DATE:
03/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Business Manager, Fieon YuTIME COMPLETED:
02:20 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 March 8, 2024 at approximately 1:16 PM, Licensing Program Analyst (LPA) Tso conducted an unannounced Case Management inspection. Purpose of the inspection was to deliver the appeal decision correspondence letter and the amended 1/18/2024 complaint report (Amended Report) to the facility. LPA met with Business Manager, Fieon Yu and explained the purpose of the inspection. Present in the facility are 4 staff caring for a total of 32 children during the napping time.

On February 2, 2024, San Bruno Regional Office received an appeal on the 1/18/2024 complaint report. Upon review of the appeal request, the appeal request is denied, and the citation remains.

On today visit, the Business Manager, Fieon Yu signed the Amended Report.

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


Exit interview was conducted and report was reviewed by Business Manager, Fieon Yu.

Since the LPA's printer error, the Business Manager granted a consent to receive all today visit reports via email.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1