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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002391
Report Date: 03/07/2024
Date Signed: 03/07/2024 12:15:56 PM

Document Has Been Signed on 03/07/2024 12:15 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:NYAMSUREN, ARVINZAYAFACILITY NUMBER:
384002391
ADMINISTRATOR:NYAMSUREN, ARVINZAYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 530-1255
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
03/07/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Arvinzaya Nyamsuren (Zaya)TIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection. LPA met with the licensee, Arvinzaya Nyamsuren (Zaya), and her mother who works as a helper. LPA explained the purpose of the inspection to her. All adults have fingerprint clearance. The facility had 6 children including 2 infants and 4 preschoolers present. The facility is called " Zaya's Daycare", and the operation hours are Monday to Friday from 8:00 AM to 5:30 PM. The licensee rents and lives with her mother in this 2-stories single-family house that has 3 bedrooms, 2 bathrooms, a living room, and a backyard on the top level; a kitchen with an adjacent dining area, a family room (licensee's room), a bathroom, and the laundry room on mid-level; Garage and storage space on the ground level. The licensee lives with her mother on the mid-level. The daycare areas are the entire upper level and a backyard. The off-limit areas are the entire mid-level and the lower level. LPA inspected the facility for health and safety hazards. The facility was clean and in order, the temperature and lighting were adequate, and toxins and harmful objects were made inaccessible to the children. The licensee set up the cubbies on the porch for the children to store personal belongings. The licensee installed gates at the front playroom's entrance, the entrance to the hallway, and the stairway to the mid-level. There were plenty of age-appropriate toys, books, learning materials & equipment, and children's furniture that were in good condition and repair. There was a fully charged 2A10BC fire extinguisher, a working smoke detector, and first aid supplies in the daycare areas. The licensee covered the fireplace with a wooden board with soft cushioning on the top. Playpens were available for napping, and boosters were available for feeding only. The licensee installed soft cushioning on the daycare floors to prevent injury. The children's bathrooms were clean and in order. The lower bathroom sink cabinets were free of harmful objects. The licensee covered all the electrical outlets. The outdoor play was completely fenced. There were many outdoor toys, a play house, and ride-on toys available for the children. The facility provides breakfast, lunch, and PM snack. The licensee had no guns, weapons, or pets in the house. Per the licensee, there were two children on special medication, LPA inspected the medication and documents. The facility conducts the disaster drill 2 times a year and logs. LPA reviewed the children's files, and 15 minutes nap log, and obtained a copy of the current children's roster during the inspection. The licensee and her helper had current CPR/First Aid Training and Child Abuse Mandated Reporter Training.
continues in LIC809C
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NYAMSUREN, ARVINZAYA
FACILITY NUMBER: 384002391
VISIT DATE: 03/07/2024
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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in 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.

Safe Sleep - 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NYAMSUREN, ARVINZAYA
FACILITY NUMBER: 384002391
VISIT DATE: 03/07/2024
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MyChildCarePlan.org – 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.

Megan’s Law - During the exit interview, Arvinzaya Nyamsuren (Zaya), confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, Arvinzaya Nyamsuren (Zaya).
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC809 (FAS) - (06/04)
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