013421028-10-25-2019-02-CC-CCON-BHAQRW-20191025122438

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421028
Report Date: 10/25/2019
Date Signed: 10/25/2019 12:24:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	HUANG, MIAO LING		FACILITY NUMBER:	013421028
ADMINISTRATOR:	HUANG, MIAO LING		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 748-0133
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	14	CENSUS: 5	DATE:	10/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:21 AM
MET WITH:	Miao Ling Huang		TIME COMPLETED:	12:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts Caroline Colson and Arminder Singh met with Miao Ling Huang and her husband Weixiang Huang for an unannounced random annual inspection at 11:21AM. There are 2 preschool children and 3 infants present. One child's record was reviewed by the LPA 's and the licensee on at 11:40AM. C1 file was complete. The Licensee stated to the analyst that there are no additional records available in the facility. Staff records were reviewed. The home was toured to conduct a health and safety inspection. The home is a one story home. The home consists of a living room, kitchen with eating area, 2 bedrooms, bathroom, shared-partially fenced back yard, and unfenced front yard. During outdoor play there will be always visual supervision The off limit area is one bedroom. The home has a 3A40BC fire extinguisher and a working smoke and carbon monoxide detector. The heater is in working condition and is barricaded off my a screen . Licensee states there are no firearms in the home. The living room is the isolation room. She conducts fire/disaster drills every six months. Her infant CPR and First Aid certificates are current and expire on April 6, 2021. She has a first aid kit. There are no pets. This facility is not providing Incidental Medical Services - IMS at this time. LPA discussed IMS services and the requirement to create a plan of operation. Specifics on the plan can be found in the family child care home evaluator manual (FCCH EM) Policy 102417. Please LIC 809 C for additional information

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: HUANG, MIAO LING	FACILITY NUMBER: 013421028
	VISIT DATE: 10/25/2019

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REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

The mandated reporter training was discussed and needs to be completed every two years. Licensee is exempt from mandated reporter training until other languages are available. Measles, Pertussis and Flu or Flu waiver will be sent to our office within 30 days.

Notice of site visit was posted at the time of the inspection and must be posted for 30 days. An exit interview was conducted. Appeal rights were given and discussed. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

LIC809 (FAS) - (06/04)

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