Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002528
Report Date: 02/07/2018
Date Signed 02/07/2018 03:30:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LUONG, NGOC KHANHFACILITY NUMBER:
384002528
ADMINISTRATOR:LUONG, NGOC KHANHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 418-4834
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94103
CAPACITY:14CENSUS: 9DATE:
02/07/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Ngoc LuongTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Leung met with Licensee, Ngoc Luong, to discuss her new center application. Present were 9 children with 2 assistants. Children went to the nearby park in the morning. Ms. Luong will open her child care center, SOMA Daycare & Preschool, once the new place is ready. The City will do a final inspection at the new center on 2/9/18. After the Fire Marshal approves the new center, LPA will inspect the new center. LPA went through the required paperwork for the application, Ms. Luong just mailed in most required paperwork to Licensing last week. LPA requested an update bank statement to verify the initial funding. Ms. Luong will take an Adm. course in the spring to complete the Director's ECE units.

This report is provided to Ms. Luong.
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2018
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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