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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421607
Report Date: 01/14/2020
Date Signed: 01/14/2020 11:05:54 AM

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:LI, YANHONGFACILITY NUMBER:
013421607
ADMINISTRATOR:LI, YANHONGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 282-3886
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:14CENSUS: 7DATE:
01/14/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Yanhong LiTIME COMPLETED:
11:15 AM
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On 01/14/2020 Licensing Program Analysts Arminder Singh and Monica Mathur met with licensee, Yanhong Li for an unannounced Plan of Correction(POC) inspection. Also present was licensee's fingerprint cleared assistant Aitong Li. During the inspection there were 7 preschoolers. Licensee is in ratio today.

01/10/2020 during an unannounced/random inspection, facility was issued citation for:
102417 (g)(4) Operation of a Family Child Care Home: Poisons detergents, cleaning compounds, medicines, firearms, and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

During today's POC inspection LPA's observed the medications and poisons were still stored in an unlocked cabinet in a ON LIMIT bedroom. No children were present in the bedroom at the time of inspection. Civil penalty of $100 assessed for Failure to Correct for period of one (1) day. Licensee removed all medications and poisons from the cabinet immediately and carried it away to an off limit room. Citation was cleared during today's inspection.

This report was reviewed with the licensee. A NOTICE OF SITE VISIT was issued and must be posted on or adjacent to the interior side of the main door into the home for 30 consecutive days.

SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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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