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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004609
Report Date: 01/09/2025
Date Signed: 01/09/2025 12:26:56 PM

Document Has Been Signed on 01/09/2025 12:26 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:PANDA CHILDREN'S CENTERFACILITY NUMBER:
384004609
ADMINISTRATOR/
DIRECTOR:		QI, WENFACILITY TYPE:
850
ADDRESS:2124 TARAVAL STREETTELEPHONE:
(415) 234-3096
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 8DATE:
01/09/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Wen QiTIME VISIT/
INSPECTION COMPLETED:
01:00 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
On January 9, 2025, at approximately 8:40 AM., Licensing Program Analysts (LPAs) Van and Badger met with Director Wen Qi for an unannounced annual random inspection. The purpose of the inspection was explained, and access to the Center was granted. This is a preschool program. A teacher and the Director supervised seven preschool children upon LPAs entrance. Another preschool child arrived during the visit. The facility complies with the staff-children ratios today.

LPAs conducted a thorough tour and inspection of the physical plant to identify any potential health and safety hazards. The facility has proper temperature control and ventilation. It uses an electronic sign-in/out app, which provides each family member with a unique access code. All parental signatures were verified, and the number of children present was matched.

The center operates within a spacious open area divided into several smaller sections using shelves. Age-appropriate toys and learning materials are available for children. The furniture was observed to be sturdy and in good condition. Additionally, the facility is equipped with a centralized combination smoke alarm, carbon monoxide detector, and a fully charged fire extinguisher.

LPAs observed electrical wires inadequately covered and dangling near the children's chair. The director stated that she plans to hold a meeting with all staff to inform them not to use any outlets near the children. Additionally, if she intends to use these outlets, she will ensure that all electrical wires are covered and secured safely.
Continued on page 2...
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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 7
Document Has Been Signed on 01/09/2025 12:26 PM - It Cannot Be Edited


Created By: Brendon Van On 01/09/2025 at 11:09 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PANDA CHILDREN'S CENTER
FACILITY NUMBER: 384004609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, an uncleared fingerprint person was present while the children were in care, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
1
2
3
4
The Center must ensure that all individuals subject to a criminal record are cleared before working, residing, or volunteering in the facility. The center will review Title 22, criminal records clearance, and provide a written plan to the department by the due date. $100 CIVIL PENALTY ASSESSED.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Garfield Leung
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 01/09/2025 12:26 PM - It Cannot Be Edited


Created By: Brendon Van On 01/09/2025 at 11:09 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PANDA CHILDREN'S CENTER
FACILITY NUMBER: 384004609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observations, LPAs confirmed that the center has a container of Lysol wipes that was stored on top of the children's toilet tank and was accessible to children.
POC Due Date: 01/24/2025
Plan of Correction
1
2
3
4
The center/director must ensure that disinfectant and cleaning products are stored in an area inaccessible to children. The director moved the Lysol wipes to the off-limit area during the inspection. The deficiency has been cleared.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on the record review, the center did not comply with the abovementioned section. The director did not have a valid mandated reporter training certificate. Additionally, it was discovered that the director had falsified the certificate by altering and editing her name on the certificate. The QR code verified that the certificate belonged to her staff member, Manlian Li.
POC Due Date: 01/24/2025
Plan of Correction
1
2
3
4
The center/director must ensure that the Mandated Reporter Training is completed every 2 years and available for review during the inspection. The director will conduct the training on or before January 24, 2025. A return visit is necessary to ensure the deficiency has been corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Garfield Leung
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PANDA CHILDREN'S CENTER
FACILITY NUMBER: 384004609
VISIT DATE: 01/09/2025
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
26
27
28
29
30
31
32
LPAs noticed that each child has their own cubby labeled with their name. All emergency supplies are stored in a locked storage area. While reviewing children’s medications, it was observed that one of the children's epinephrine had expired. The Director mentioned that the child was no longer in need of it. However, the center lacked any written confirmation or statement from the family to support this.

The sleeping cots are appropriately stored. All children's toilets and handwashing sinks are in good working condition and have proper sanitation. LPAs noticed that a container of Lysol wipes was stored on top of the children's toilet tank and was accessible to children. LPAs informed the director that all cleaning products must be kept out of reach of children.

There is a separate bathroom for staff use. The whole time, while LPAs were there, LPAs noted that the staff bathroom door was locked, and there was also a locked baby gate at the front of the bathroom door. While reviewing files and preparing reports, LPAs could hear noise coming from inside the bathroom. About five minutes later, LPAs listened to the sound of a toilet flushing. Shortly after, a man emerged from the bathroom. LPAs introduced themselves and inquired if he was a staff member. The man became irate, questioning why he needed to identify himself and left the facility. The director explained that the man was a performer who had only come in to use the restroom. It is worth mentioning that LPAs arrived at the facility at approximately 8:40 AM, and the unidentified man was quietly in the bathroom until around approximately 10:25 AM.

The facility currently has an outdoor waiver from the Department, allowing a maximum of 9 children in the playground at one time. The outdoor play area is well-maintained, clean, and free of debris. It is fully fenced and in good condition. Additionally, all play structures, including climbing and sliding equipment, have soft artificial turf underneath to prevent accidental falls.
Continued on page 3...
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PANDA CHILDREN'S CENTER
FACILITY NUMBER: 384004609
VISIT DATE: 01/09/2025
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
26
27
28
29
30
31
32
The center provides lunch and morning and afternoon snacks for the children. Children bring their water bottles, and the center was observed to have a water pitcher available for refills if needed.

All required postings, such as the facility License, Notification of Parent Rights, Personal Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities, were posted. All storage containers for solid waste within the Center have a proper tight-fitting cover.

Random children's records and personnel records were reviewed during the inspection. Records review showed the facility has complete records of each child, including immunizations, admission agreements, emergency contact, and personal rights.

All staff members have valid CPR records and maintain proper immunization records. The director's and staff's educational qualifications showed they had the required ECE units.

While reviewing the director-mandated reporter training certificate and scanning the QR code on it, it was discovered that the director had falsified the certificate by altering the name on it. The QR code verified that the certificate belonged to her staff member, Manlian Li.

The Director stated that the Center conducts fire and earthquake drills monthly; the last drills were conducted on 8/5/2024.

The Director was reminded that all adults 18 and over, 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 Child Care Center. 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.
Continued on page 4...
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PANDA CHILDREN'S CENTER
FACILITY NUMBER: 384004609
VISIT DATE: 01/09/2025
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
26
27
28
29
30
31
32
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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

LPA discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018 all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Continued on page 5...
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 6 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PANDA CHILDREN'S CENTER
FACILITY NUMBER: 384004609
VISIT DATE: 01/09/2025
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
26
27
28
29
30
31
32
Pesticide regulations were discussed with the Site Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.
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.

See 809D for deficiencies cited during today’s inspection.

A Type “A” violation was issued today. The center is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the owner. Notice of Site Visit shall remain posted for 30 days.

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

Exit interview conducted and report was reviewed with the Director, Wen Qi.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
Page: 7 of 7