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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004735
Report Date: 02/16/2024
Date Signed: 02/16/2024 10:31:48 AM

Document Has Been Signed on 02/16/2024 10:31 AM - 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:YANG, YUFACILITY NUMBER:
414004735
ADMINISTRATOR:YANG, YUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 922-8838
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94065
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Yu YangTIME COMPLETED:
10:45 AM
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On 2/16/2024, at approximately 9AM., Licensing Program Analysts (LPA), Tso (certified bilingual Chinese), met with Fire Marshal and Licensee, Yu Yang. Purpose of inspection was explained and was for an Unannounced, Case Management inspection to assist the Fire Marshal to translate during the fire clearance visit to add the backyard as the daycare area. Present was the licensee caring for 4 children. (3 infant-age, 1 preschool age). Adult has criminal record clearance on file. Licensee’s home is a 4 bedroom, 2 bathroom, 1 level house. Days and hours of operations are: Monday- Friday, 8:30AM.- 5:30PM. Daycare Areas are: Living Room (Playroom); and Bathroom #1 & # 3. Off-limit Areas are: Bedrooms #2, #4, Garage, Kitchen, and Outdoor Backyard Area. LPAs inspected facility with licensee for health and safety hazards.

LPAs inspected the outdoor, backyard area. The playthings inspected were in good repair. The back yard area does not have any pools, jacuzzi, fishponds or bodies of water.

Updated Facility Sketch (LIC999) has been submitted to the department.

Before the adding the outdoor backyard were added to the on-limit (day care) areas, the following should be completed.

· Proof of Fire Clearance was obtained.

· Proof of the backyard is properly barricaded.

**No deficiencies were cited against the facility today under CCR, Title 22, Div. 12, Chapter. 3**


A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Yang Yu.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2024
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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