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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002391
Report Date: 04/02/2024
Date Signed: 04/02/2024 04:12:51 PM

Document Has Been Signed on 04/02/2024 04:12 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:
04/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Arvinzaya Nyamsuren (Zaya)TIME COMPLETED:
04:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection for a correction listing in the Advisory note dated 3/7/2024. LPA met with the licensee, Arvinzaya Nyamsuren (Zaya), and the licensee's mother was a daycare helper. All adults have fingerprint clearance. There were 6 children including 3 infants present upon LPA's arrival. LPA inspected the outdoor play yard during the inspection. The licensee removed the weeds along the fences in the yard. The yard was free of weeds and back in good condition. The correction was cleared during the inspection today.










This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
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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