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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004228
Report Date: 02/05/2025
Date Signed: 02/05/2025 03:34:27 PM

Document Has Been Signed on 02/05/2025 03:34 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:HUANG, WEN YAFACILITY NUMBER:
414004228
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
02/05/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Licensee, Huang, Wen YaTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
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On February 5, 2024, at approximately 1:30pm, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, case management visit. LPA met with the licensee Huang, Wen Ya and explained the purpose of the visit. Present during LPA's visit included the licensee, their spouse, their 11-year-old son, and 2 preschool children.

Licensee requested to increase capacity from a small family childcare home to a large family child care home. Capacity increase application was submitted to department January 13, 2025. Fire clearance approval has been obtained as of January 30, 2025. Licensee also requested for a room addition to their childcare license. Per licensee, they would like to add room #1 and room #2. LPA observed room #1 and room #2 for any health and safety hazards.

Licensees live in the home with their spouse and child. Licensee was reminded if children live in the home under 10 years old, they are counted towards overall capacity. All adults living in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 8:30am to 5:30pm

The DAY CARE AREAS now approved are the living room, dining room, bathroom #1, room #1, room #2, room #3, and the backyard. The OFF LIMIT AREAS are the garage, kitchen, and the front yard. Off limit areas are made inaccessible with child safety door handles and/or a child safety gate. Home is equipped with a fully charged fire extinguisher, first aid kit, and smoke and carbon monoxide detectors. LPA tested smoke and carbon monoxide detectors during visit, which were observed to be working.

Capacity limits and ratios for a large family day care have been reviewed with the licensee on this date. LPA reminded licensee that an assistant must be present when operating as a large license. LPA reminded licensee when an assistant is not present, licensee must operate within capacity limits of a small family child care home.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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: HUANG, WEN YA
FACILITY NUMBER: 414004228
VISIT DATE: 02/05/2025
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The licensee has submitted signed Property Owner/Landlord Consent form (LIC9149).

LPA will approve for a capacity of 14 children as of today's date, 02/05/2025.

LPA will approve the room addition of room #1, and room #2, as of today’s date, 02/05/2025.

No deficiencies were issued during today's visit. A notice of site visit was given and must remain posted.

Exit interview conducted and report was reviewed with the licensee, Huang Wen Ya.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
LIC809 (FAS) - (06/04)
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