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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005070
Report Date: 05/24/2024
Date Signed: 05/24/2024 11:44:05 AM

Document Has Been Signed on 05/24/2024 11:44 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:WU, TINGLINFACILITY NUMBER:
414005070
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
05/24/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:33 AM
MET WITH:Tinglin WuTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
NARRATIVE
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On 5/24/24 Licensing Program Analysts (LPAs) Garcia and Alvarado conducted an unannounced case management visit to the Family Childcare Home (FCCH) listed above. The licensee requested a visit from the department since she would like to upgrade her small FCCH to a large FCCH license. LPAs met with the Licensee, Tinglin Wu, and explained the purpose of the visit. Three infants, three preschool-aged, the licensee’s daughter school age. The licensee’s employee was also present. The licensee and the licensee’s employee present at the FCCH received criminal record clearance from the department. The FCCH operates within its capacity and in accordance with the required ratio of staff to children.

The home is a two-story, three-bedroom, one-bathroom home.
Daycare Areas: Lower level: Living Room, Kitchen, and Backyard.
Upper level: Bedroom #1 (Baby Bedroom), Bedroom #2 (Playing Room), and Bathroom.
Off-limits Areas: Bedroom #3 and Garage.

The Home has stairs that lead to the second floor, the bottom and top of the stairs. Licensee also does close off the kitchen area even though it is a daycare use area.

New Child care areas will only be the Lower level of the house per Fire Clearance Conditions.
Day Care Areas: lower level: Living Room, Kitchen, and Backyard
Off-limit Area: All the Second Floor: Bedroom #1, Bedroom #2, and Bedroom #3.
Bathroom is still pending.


See Page Two
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Diana Alvarado
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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 3
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: WU, TINGLIN
FACILITY NUMBER: 414005070
VISIT DATE: 05/24/2024
NARRATIVE
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Page Two

LPAs and the licensee conducted an inspection to identify potential health and safety hazards. The indoor daycare areas were found to be clean, orderly, and equipped with age-appropriate toys, furniture, and educational materials. The Family Child Care Home (FCCH) demonstrated proper lighting, ventilation, and absence of hazards endangering children, along with essential safety equipment such as a fully stocked first aid kit, functioning smoke and carbon monoxide detectors, and a charged fire extinguisher. Measures were taken to ensure child safety, including covering garbage cans and power outlets and storing cleaning products out of reach or secured with child safety locks. Licensee confirmed that no firearms or weapons were present on the premises.

The entire backyard was securely enclosed and furnished with playground equipment in good condition, featuring cushioned areas under high climbing equipment to absorb falls. No pools, spas, or other bodies of water were on the premises.

Licensee was reminded of the capacity limits specified in the license, with a review of the limits for large and small family childcare homes. It was emphasized that when no assistant provider is present, the licensee must adhere to the capacity requirements for a Small Family Childcare Home, allowing for the care of up to eight children. The licensee was also reminded of their obligation to be physically present and ensure continuous supervision of all children in care. In the event of temporary absence, arrangements must be made for a substitute adult to supervise the children, with absences not exceeding 20% of the facility's operating hours per day.

As of 5/24/24 the Large License will not be approved and will be pending till further clarification from Fire, it the bathroom area (Only bathroom) in the house can be approved for use for children. As of 5/1/24 Fire has said “Second Floor is NOT approved for childcare use.”

See Page Three
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Diana Alvarado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: WU, TINGLIN
FACILITY NUMBER: 414005070
VISIT DATE: 05/24/2024
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Page Three

As of 5/24/24 the Large License will not be approved and will be pending till further clarification from Fire, it the bathroom area (Only bathroom) in the house can be approved for use for children. As of 5/1/24 Fire has said “Second Floor is NOT approved for childcare use.”

The Central County Fire Department issued a fire clearance for the FCCH on 5/1/2024 in compliance with requirements for a large FCCH.

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.

No deficiencies were issued today during LPA's visit.
A copy of today’s report was given to the Licensee, Tinglin Wu

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

Exit interview conducted and report was reviewed with the Licensee, Tinglin Wu.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Diana Alvarado
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3