Community Care Licensing

FACILITY NAME:	ZHU, HUIFENG		FACILITY NUMBER:	013419189
ADMINISTRATOR:	ZHU, HUIFENG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 429-1669
CITY:	FREMONT	STATE: CA	ZIP CODE:	94555
CAPACITY:	14	CENSUS: 11	DATE:	04/14/2022
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	Huifeng Zhu		TIME COMPLETED:	03:40 PM

NARRATIVE

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On April 15th, 2022 @ 8:25am, LPA April Wright received an email from Licensee Huifeng Zhu with the disenrolled student C11 from their facility roster. LPA also received a phone call from the Licensee spouse Peter Lung to follow up to ensure that the email had been received @ 8:45am. LPA advised that email had been reviewed and received to confirm and will follow up with an unannounced visit to confirm enrollment status and ratio. Huifeng Zhu—updated roster - 4-14-22 visit.docx On 4/20/22 at 1:05pm, Licensing Program Analysts April Wright and Briana Plumboy, met with licensee Huifeng Zhu for an UNANNOUNCED POC INSPECTION. Present for this visit was 4 infant, 5 preschool age children, and fingerprint clear and associated Huilien Chu, and the licensee's fingerprint cleared husband Peter Lung. The facility is in ratio today. LPA Wright cleared the deficiency which was cited on 4/14/22 for capacity/ratio. LPA Wright provided licensee a clearance letter for the ratio/capacity citation. There are no deficiencies cited today. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona TELEPHONE: (510) 421-1324 LICENSING EVALUATOR NAME: April Wright TELEPHONE: (510) 542-4257 LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2022