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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419189
Report Date: 04/06/2023
Date Signed: 04/06/2023 11:11:14 AM


Document Has Been Signed on 04/06/2023 11:11 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:ZHU, HUIFENGFACILITY NUMBER:
013419189
ADMINISTRATOR:ZHU, HUIFENGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 429-1669
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:14CENSUS: 10DATE:
04/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Huifeng ZhuTIME COMPLETED:
11:25 AM
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On April 6th, 2023 at approximately 9:20AM, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Annual/Random Inspection and met with Licensee Huifeng Zhu. Present at time of inspection were ten (10) children and license fingerprint cleared spouse Peter Lung and assistant Hui Lien Chu. Hours of operation for daycare are Monday through Friday, 8:00am to 6:00pm.

LPA toured the home to conduct a health and safety inspection. The home is two story, which is neat and orderly, with heating and ventilation for safety and comfort. There is a child safety gate in place to prevent access to the second level of the home. The outdoor play area is fenced and is free from defects and dangerous conditions. There are four (4) play slides and riding bikes that are free from defects and in good condition. There were age appropriate toys, inside and outside, that were observed to be safe and in good condition. Toxins, medicines, and hazardous items were inaccessible during today's inspection.

ON LIMITS Areas: First floor which includes Living Room (main daycare room) Family room (daycare sleeping/diapering room) bathroom, kitchen and backyard. Kitchen is used for eating only.
OFF LIMITS Areas: Entire Second floor, first floor storage room and garage, which are inaccessible by closed and/or locked doors and visual supervision.

The home has a fully charged 2A10BC fire extinguisher, working carbon monoxide/ smoke detectors, telephone, and first aid kit. There are no pools hot tubs or any other bodies of water present in the on-limit areas during today’s inspection. Per licensee there are no weapons or firearms in the home. The licensee is in compliance with the immunization laws which pertains to all childcare providers.

See LIC809C for continuance.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ZHU, HUIFENG
FACILITY NUMBER: 013419189
VISIT DATE: 04/06/2023
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Records Review: LPA Wright requested and reviewed the files children in six (6) are as well as facility file. All children's files contained Immunization, Parent's Rights, and Medical Consent forms. The facility roster was reviewed and copies were obtained. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 2/16/2023. CPR and First Aid certificate is current and expires 5/2023 Mandated Reporter training was completed on 1/31/2023. All required forms are posted and visible for public review.

Incidental Medical Services (IMS) policy was discussed. NO IMS PROVIDED AT THIS FACILITY. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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: http://www.ada.gov/childqanda.htm

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented. The licensee is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.

LPA discussed the Safe Sleep regulations with licensee and discussed Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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.

See LIC809C for continuance.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ZHU, HUIFENG
FACILITY NUMBER: 013419189
VISIT DATE: 04/06/2023
NARRATIVE
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Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a childcare center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. All forms can be downloaded at www.ccld.ca.gov

There are no deficiencies cited today. A notice of site visit was given and must remain posted 30 days. Exit interview conducted and report was review with licensee Huifeng Zhu.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
LIC809 (FAS) - (06/04)
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