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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004228
Report Date: 10/29/2025
Date Signed: 10/29/2025 04:53:40 PM

Document Has Been Signed on 10/29/2025 04:53 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:		HUANG, WEN YAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 632-6920
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
10/29/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Wen Ya HuangTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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On 10/29/2025 at 1:10 PM, Licensing Program Analysts (LPAs) Wadhwa and Tso conducted an unannounced annual visit. LPA met with the Licensee, Wen Ya Huang, and explained the purpose of the visit. There were three children (infants) present at today’s visit. At 1:50 PM, licensee’s spouse and child arrived at the home. All adults living in the home have fingerprint clearance on file.

The licensee has a large license and is operating within ratio and capacity limits on this day.

Hours of operation are Monday to Friday 8:30 AM to 5:30 PM. LPAs conducted a health and safety inspection inside and outside the home. The home is a one -level, single-family home. Entrance to the facility is through the front door.



The DAY CARE AREAS now approved are the living room, dining room, bathroom #1, bedroom #1, bedroom #2, bedroom #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.

LPAs observed home to be clean and well ventilated. Home is equipped with furniture, toys and equipment that were observed to be age appropriate. The family room includes a fireplace that was made inaccessible to children and appropriately barricaded. LPA observed cleaning supplies, poisons, and other chemicals to be inaccessible behind child safety locked cabinets, closets, or located in off-limits areas.

LPAs observed the bathroom to be in proper working condition, with appropriate sanitation products. Cabinets and drawers are made inaccessible to children with multiple child safety locks. Home is equipped with multiple emergency backpacks, first aid supplies, fire extinguisher 2A10BC, and a working smoke/carbon monoxide detector, which LPAs tested.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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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: 10/29/2025
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Per licensee, she has 3 enrolled children (infants) in her daycare. LPAs reviewed the facility’s children's roster and found it to be current.

LPAs observed that all required documents, such as the facility license, the Notification of Parental Rights, and the Earthquake Preparedness Checklist, were displayed and visible to the public.

The most recent emergency disaster drill was conducted on 7/22/2025, and the LPAs observed that it was properly documented. LPAs reviewed the emergency disaster drill log and found they were conducted at least once every six months.

LPA observed that the daycare areas had age-appropriate toys, furniture, and educational materials. The fireplace was covered with a screen and made inaccessible to children. Electrical outlets were fitted with child safety covers to prevent children's access.

Licensee stated there are firearms in the home that LPAs observed to be properly secured. LPAs reminded licensee that all firearms and ammunition must be stored in locked, inaccessible and off-limit areas of the home.

The backyard is surrounded by a fence. There is a play structure with cushioning material on the ground surface. There are a variety of outdoor riding toys and bicycles available for children’s use.LPAs did not observe any pools, spas, or bodies of water on the property.

The licensee stated she provides the children with breakfast, lunch, and afternoon snacks. The licensee stated no documented allergies among any of the enrolled children.

At, 1:45PM, LPAs observed that only two playpens were available for three infants and one infant was placed on an adult bed for napping. A Type B citation was issued for this violation.

At 1:47 PM, LPAs observed all three infants present today to be in sleep sacks. The licensee was also advised the use of sleep sacks is not permitted under safe sleep regulations. The licensee immediately removed the sleep sack from the infants. Advisory Note: A technical violation (LIC9102TV) was issued.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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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: 10/29/2025
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At 2:00 PM, Licensee confirmed sleep logs are recorded daily but discarded at the end of each day and not maintained on file. LPAs advised the licensee that sleep logs must be made available for LPA review upon request. A Type B citation was issued for this violation.

LPAs observed infant mattresses to be firm. LPAs reminded licensee that mattresses should be covered with fitted sheet that is appropriate to the mattress size and must be washed on a regular basis.

LPAs reviewed the files of all three enrolled children and observed all three files to not contain the LIC 9227 forms. Advisory Note: A technical violation (LIC9102TV) was issued.



LPA Tso reviewed safe sleep regulations with licensee in Chinese and provided a Chinese copy of the regulations for reference. Licensee was also provided with a copy of the LIC 9227.

LPAs reviewed licensee’s file and found them to be complete. Licensee’s Mandated Reporter Training certification is current and will expire on 11/16/2026. Licensee also has a valid CPR certification that expires in June 2026.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

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

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC809 (FAS) - (06/04)
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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: 10/29/2025
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee 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.

During the exit interview, the licensee, Wen Ya Huang confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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.

Two Type B deficiencies were issued during today’s visit, 10/29/2025.The copy of today visit report and appeal rights were discussed and delivered to the licensee.

A Notice of Site Visit was given and must remain posted for 30 days.

Licensee has requested her profile be updated to reflect her preferred language as Mandarin.



Exit interview conducted and report was translated and reviewed with the licensee, Wen Ya Huang.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/29/2025 04:53 PM - It Cannot Be Edited


Created By: Ruhi Wadhwa On 10/29/2025 at 03:38 PM
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: HUANG, WEN YA
FACILITY NUMBER: 414004228

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(a)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee had two playpens for three infants. LPAs observed an infant sleeping on an adult bed.
POC Due Date: 11/12/2025
Plan of Correction
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Licensee will comply with safe sleep regulations and ensure a playpen is made available for every napping infant in care.
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, licensee did not have sleep logs available for LPA review today, which poses /posed potential safety or personal risk to the perosn in care.
POC Due Date: 11/12/2025
Plan of Correction
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Licensee has stated she now understands and will comply with safe sleep regulations and and will document and maintain sleep logs for all infants in care. Licensee further states she will make available sleep logs for LPA review upon request.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Ruhi Wadhwa
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/29/2025


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