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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004406
Report Date: 07/18/2022
Date Signed: 07/18/2022 01:06:13 PM

Document Has Been Signed on 07/18/2022 01:06 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:FACESSF-BAYVIEW INFANTFACILITY NUMBER:
384004406
ADMINISTRATOR:WONG, KIMFACILITY TYPE:
830
ADDRESS:100 WHITNEY CIRCLETELEPHONE:
(415) 567-2357
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
07/18/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:18 AM
MET WITH:Robyn KingTIME COMPLETED:
12:49 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
Licensing Program Analyst (LPA) Sheran Lo conducted an announced case management inspection today. LPA met with the Director Robyn King. The purpose of the inspection was explained to her. There were 2 teachers with 4 children in care.

The case management was related to Director’s request. Director requested a newly remodeled outdoor play area for children's use. LPA toured, measured, and inspected the outdoor play area. The area was clean and free of hazard. Soft grass/material was installed to the ground to prevent injury. The space measured 480 sq ft adequate for 6 children. LPA approved the infant outdoor play area to be included to the childcare area as of today.

This report was explained and provided to the licensee. The notice of site visit was given.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2022
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