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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004681
Report Date: 05/02/2024
Date Signed: 05/02/2024 10:47:46 AM

Document Has Been Signed on 05/02/2024 10:47 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BUILDING KIDZFACILITY NUMBER:
414004681
ADMINISTRATOR/
DIRECTOR:		FRANCIS, SOPHINFACILITY TYPE:
850
ADDRESS:1496 ADOBE DRIVETELEPHONE:
(650) 735-5249
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 61DATE:
05/02/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Sophin FrancisTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On May 02, 2024 at approximately 10:15am, Licensing Program Analysts (LPAs) Ly and Gil conducted a Plan of Correction (POC) Visit and met with Director Sophin Francis. Purpose of visit was explained. Present during were 8 staff including the Director caring for 61 preschoolers.

The POC is regarding Type B deficiencies cited on 04/23/2024 toilets were not working properly with plastic wrap around toilets to prevent children from using and another deficiency is regarding facility has a strong unpleasant odor.

On this day, LPAs and the Director had a tour of the facility. LPAs observed all toilets in children bathroom are in good working condition. LPAs also observed facility has opened windows to allow fresh air into facility and air purifier have been placed in each classroom. LPAs cleared Type B deficiencies cited on 04/23/2024 and letter of clear deficiencies provided to Director.

A copy of this report and appeal rights were discussed and left with Licensee whose signature on this form confirm receipt of these reports.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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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