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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004998
Report Date: 01/30/2025
Date Signed: 01/30/2025 10:21:10 AM

Document Has Been Signed on 01/30/2025 10:21 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:WANG, ZHONGLINFACILITY NUMBER:
414004998
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/30/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Zhonglin Wang TIME VISIT/
INSPECTION COMPLETED:
10:20 AM
NARRATIVE
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On January 30, 2025 at 9:30am, Licensing Program Manager (LPM), Marie Rodriguez and Licensing Program Analysts (LPAs), Man Tso (Certified bilingual Chinese, Mandarin) and Katie Krenn met with Licensee Zhonglin Wang (Mandarin speaking) for an Office Meeting due to application for increase capacity to 14 and having violations with facility number 414004998. During the office meeting, LPA Tso translated for the licensee.

Discussed during the meeting were the following:

1. The past communications between the licensee and the Licensing Office were via the licensee’s son-in-law. The licensee was reminded that the licensee would be responsible for the issues and/or responsibilities related to the facility.

2. During the unannounced annual and case management visit on 1/9/2025, LPAs observed that taking care of the children in care was taken by the helper. Again, the licensee was reminded that the licensee would be responsible for the responsibilities in providing care to the children.

3. The licensee should maintain the facility within capacity and/or ratio is licensed for. LPM provided capacity worksheet to licensee for reference.

4. The children in care are only allowed to be in the Daycare Areas. The children in care should not be in the Off-Limits Areas, such as the unit, yard next to the facility.



(Continued on Page 2, …)
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 2
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: WANG, ZHONGLIN
FACILITY NUMBER: 414004998
VISIT DATE: 01/30/2025
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(Continued, Page 2 …)

1. Any adult living and working in the facility should obtain the criminal record clearance or exemption and associated to the licensee’s facility. On 4/12/2024, a LPA Kassandra Medrano observed that the licensee’s daughter was present at the licensee’s facility whose criminal background check record clearance was not associated the facility. LPM reminded the licensee that the licensee’s daughter was not allowed at the facility during the facility operating hours as the licensee’s daughter is the licensee of the other facility.

2. Further to the case management visit on 1/9/2025, the licensee's home meets the licensing requirements of a Large Family Child Care Home (FCCH), and licensure is recommended and approved on 01/31/2025.


LPM also explained that the Department’s goal is to work with the Licensee to gain compliance. Future noncompliance and further citations may lead to administrative action against the license.

A copy of this report was discussed and printed for Licensee whose signature on this form confirms receipt of the report. This report must be available in the facility for public review.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
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