414003045-7-8-2026-05-CC-BVAN-DVSSFF-20260708135015

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414003045
Report Date: 07/08/2026
Date Signed: 07/08/2026 01:50:19 PM

Document Has Been Signed on 07/08/2026 01:50 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:	TSENDJAV, OYUNDELGER		FACILITY NUMBER:	414003045
ADMINISTRATOR/ DIRECTOR:	TSENDJAV, OYUNDELGER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 316-9365
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 3	DATE:	07/08/2026
TYPE OF VISIT:	POC	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:20 PM
MET WITH:	Oyundelger Tsendjav		TIME VISIT/ INSPECTION COMPLETED:	02:00 PM

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On July 8, 2026, Licensing Program Analyst (LPA) Van arrived at the family child care home to conduct an unannounced Plan of Correction (POC) inspection. LPA met with the licensee, Oyundelger Tsendjave, and explained the purpose of the visit. The licensee granted LPA access to the home. Upon entry, the licensee and an assistant/spouse supervised 3 children (1 infant and two preschoolers)

During the annual inspection conducted on June 3, 2026, LPA observed deficiencies related to temporary absence and mandated reporter training requirements. The licensee was out of the country for approximately 30 days, which exceeded the allowable temporary absence limit and did not meet the requirement that the licensee be present and actively involved in the daily operation of the home. Additionally, the licensee’s assistant/spouse did not have a valid Mandated Reporter Training certificate and had not renewed the required training.

In addition to the deficiencies issued, technical violations were also issued on June 3, 2026. Cleaning products were observed accessible to children, and a mattress was observed without a properly fitted sheet.

During today’s visit, LPA verified through record review and observation that the licensee corrected all previously cited deficiencies and technical violations. The licensee returned home and resumed responsibility for daily operations, ensuring compliance with supervision requirements. LPA confirmed that the assistant/spouse renewed and obtained a valid Mandated Reporter Training certificate. LPA also verified that cleaning products were properly stored and inaccessible, and that all mattresses were fitted with tightly fitted sheets that met regulatory requirements.

Based on today’s inspection, all deficiencies and technical violations cited on June 3, 2026, have been corrected, and the family child care home is now in compliance.

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

An exit interview was conducted, and the report was reviewed with the licensee, Oyundelger Tsendjave.

NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

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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