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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002826
Report Date: 08/23/2023
Date Signed: 08/23/2023 11:13:39 AM

Document Has Been Signed on 08/23/2023 11:13 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:LEBOEUF, LISE AND ALLAUME, CELINEFACILITY NUMBER:
384002826
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
08/23/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lise LeboeufTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Mok conducted an unannounced inspection for POC. LPA met with the licensee, Lise Leboeuf. There was no children present. Per licensee, she closed her daycare for minor maintenance and vacation from 8/21/2023 until October 16, 2023. The licensee reduced the number of the children back to the capacity on 8/15/2023. LPA did not observe any child at the facility on 8/22/23 and 8/23/23. The deficiency on 8/14/2023 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: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2023
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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