414004642-4-3-2024-05-CC-JGIL-D3YU64-20240403151742

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004642
Report Date: 04/03/2024
Date Signed: 04/03/2024 03:17:51 PM

Document Has Been Signed on 04/03/2024 03:17 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:	YE, FENGE		FACILITY NUMBER:	414004642
ADMINISTRATOR: ADMINISTRATOR/ DIRECTOR:	YE, FENGE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 307-3838
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	04/03/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN: TIME VISIT/ INSPECTION BEGAN:	12:59 PM
MET WITH:	Fenge Ye		TIME COMPLETED: TIME VISIT/ INSPECTION COMPLETED:	03:50 PM

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On April 4, 2024, at approximately 1:00 PM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with licensee, Fenge Ye, and explained the purpose of the inspection. Present during LPA’s visit included licensee and two minor children. LPA observed a dog with a complete vaccination record provided and available for review. Per licensee and her children’s roaster she has a total of 10 enrolled children (4 infants, and 6 preschoolers). There were no children in care on this day due to their Spring Break annual vacation time. The licensee is a large license and is operating within capacity limits and ratio based on her paperwork.

Licensee lives in a single-level home with her spouse and two minor children. All adults living in the home have fingerprint clearance on file. The hours of operation are Monday through Friday 8:00 AM to 6:00 PM. The home is a single level home that includes three bedrooms, two bathrooms, family room/sunroom, living room, dining area, kitchen, garage, side yard, deck area, and backyard.

Day Care Areas: family room/sunroom (main classroom), bathroom #1 (located in main classroom), master bedroom (converted into second classroom/napping room), side yard, deck (located in backyard), and portion of backyard.

Off Limit Areas: are bedroom #1, bedroom #2, living room, dining area, kitchen, garage, and portion of backyard. All off limit areas are properly barricaded with child safety gates, child safety handles and/or locked doors. The portion of the backyard that remains off limits includes a fishpond. The off-limit area of backyard is fully gated by a fence that is at least 6ft. tall.

At approximately 1:40 PM, LPA toured day care areas of home with licensee. LPA observed the home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good working condition. LPA observed a fully stocked accessible first aid kit. LPA did not observe any accessible cleaning supplies, poisons, and solutions in day care areas. LPA observed a fireplace in main day care room area that was properly barricaded and made inaccessible to children in care.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

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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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: YE, FENGE	FACILITY NUMBER: 414004642
	VISIT DATE: 04/03/2024

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Home is equipped with a fully charged fire extinguisher and multiple carbon monoxide detectors. The licensee also has a fire alarm in the main day care room(Family room/sunroom) entrance area. LPA tested carbon monoxide detector next to the gated kitchen area, which was observed to be working. Licensee does not have any children in care with allergies or IMS plans. Per licensee, she does have a child that can’t have certain over the counter medications. Per licensee, she provides food for half the children in her care.

At approximately 2:30 AM, LPA observed bathroom for children's use was in proper working condition. LPA observed bathroom to include appropriate toileting equipment and sanitation products. Safety locks are installed in all cabinets of the bathroom in the main day care room. LPA did not observe any hazardous materials to be accessible to children in the bathroom.

The entire front yard and backyard is fully enclosed. The outdoor area is equipped with a variety of toys and materials. LPA observed a small fishpond in the off limit areas outdoor with a 6 ft tall fence surrounding that area. Per licensee, they are currently remodeling her home and outdoor area while the children in her Day Care Program are in Spring Break.

LPA reviewed five children records which were not complete. The children’s files have a record of emergency identification information and required immunization, however two of her infant files are missing LIC 9227. LPA reviewed staff records for licensee and two additional assistant which were complete. Licensee's CPR/FIrst Aid is current and will expire 6/11/2025. The licensee’s Mandated Reporter training certification is also current and will expire 07/06/2025. The licensee also has required immunization available for review. LPA also observed both assistants to have current CPR and Mandated Reporter training certification that will expire 6/2025.

Licensee has licensing documentation properly posted and available for review. The licensee also maintains a childcare roster that was made available for review. Emergency disaster drills are conducted at least once every six months. The last disaster drill was conducted on October 10^th, 2024. Per licensee, there are no weapons or firearms in the home.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at

www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

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: YE, FENGE	FACILITY NUMBER: 414004642
	VISIT DATE: 04/03/2024

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Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at

https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee 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, a Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

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

During the exit interview, the licensee, Fenge Ye, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

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

Exit interview conducted and report was reviewed with the licensee, Fenge Ye.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

LIC809 (FAS) - (06/04)

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