013421890-3-10-2020-02-CC-ASIH-BMKNWJ-20200310104936

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421890
Report Date: 03/10/2020
Date Signed: 03/10/2020 10:49:45 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:	ZHU, CHANG		FACILITY NUMBER:	013421890
ADMINISTRATOR:	ZHU, CHANG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 499-7768
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94502
CAPACITY:	14	CENSUS: 6	DATE:	03/10/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Chang Zhu		TIME COMPLETED:	11:00 AM

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	On 03/10/2020 at 08:45 AM Licensing Program Analyst (LPA) Arminder Singh conducted an unannounced Required 1- Year Inspection at Chang Zhu's Family Day Care Home. LPA met with Licensee, Chang Zhu and explained the purpose of today’s inspection. Present in the home were Licensee, 1 Assistant and six (6) day care children (3 preschool age and 3 infants). Facility is in compliance with required ratios/capacity today. Children were engaged in various activities under the supervision of the Licensee and Assistant. Days and hours of operation are Monday - Friday from 8:00 AM - 6:00 PM. Adults over the age of 18 and residing in the home are the Licensee, Father, Mother, and One Adult Son. There is also one under age son. All adults have Criminal Background Check Clearances. At 09:15 AM LPA toured the indoor and outdoor areas of the home during today's inspection with the Licensee. The home is a single story home, with heating and ventilation for the safety and comfort of children in care. Home consists of 3 bedrooms, 2 bathrooms, living room, kitchen, dining room, playroom, backyard, and an attached garage. The ON LIMIT areas include the dining area, covered patio(playroom), bedroom on the right side of the home (nap area), and both of the bathrooms. OFF Limits are the living room, kitchen, garage, and the two bedrooms located on left side of home. All off limit areas are made inaccessible by gate, closed and/or locked doors and visual supervision. The isolation area will be the on limit bedroom. The outdoor play area is fully fenced and free from defects or dangerous conditions. There are ample age appropriate toys that appear to be safe and in good condition. LPA did not observe any bodies of water, hazardous items or toxins accessible today. CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

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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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: ZHU, CHANG	FACILITY NUMBER: 013421890
	VISIT DATE: 03/10/2020

NARRATIVE

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The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children in the home. Furniture and equipment, such as mats and tables were age appropriate and in good condition. There were no baby walkers or bouncers observed on the premises during today’s inspection. The home is orderly, and safe for the day care children. LPA did not observe any wall heaters in the home. There is a fireplace (screened), that is located between the Dining Room and Living room wall. There are no stairs inside the home.

OUTDOOR SPACE: In Use Areas: The backyard is on limits. The outdoor space and play equipment were observed to be maintained in safe condition and free of hazards. The yard was fenced and there were no bodies of water. The side yards were fenced/barricaded to prevent access by children.

LPA observed a fully charged 3A40BC fire extinguisher in the kitchen. Home does have working smoke / carbon monoxide detectors that is located in dining room area. The Licensee states that she does not have any weapons or pets in the home. LPA reviewed a current Children Roster and obtained a copy. Last fire/disaster drill was completed on 12/20/19. All required Licensing postings were observed posted on the front entrance wall in the home. The Licensee states that she does not transport children. Licensee states that she supplies snacks and meals to the children. Food storage area was sanitary and safe. Day care home appeared to be free of flies, other insects, and rodents during today’s inspection.

Supervision of children was discussed with the Licensee and she understands that she must be present in the home during 80% of the operating hours of the day care and ensure that the children are supervised at all times. The Licensee understands her capacity options and that she cannot have more than 8 children in the home at any time without at least two qualified adults present. Licensee also understands that she must comply with the ratio and capacity requirements of the Small Family Child Care Home license whenever she or a qualified adult is alone with the children.

CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

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: ZHU, CHANG	FACILITY NUMBER: 013421890
	VISIT DATE: 03/10/2020

NARRATIVE

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LPA reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who comes in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12-month period.

LPA advised the Licensee of the required Mandated Reporter Training for Child Care Providers that all Licensees and employees are required to complete as of January 1, 2018. The website for the online training is: http://www.mandatedreporterca.com/training/childcare.htm.

Individual Medical Services (IMS) policy was discussed. The Licensee stated that she currently does not have any one child in care who requires IMS. 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

Beginning January 1, 2019 AB 2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA provided a copy of the “Lead Poisoning Facts Information Flyer” and “Safe Sleep Information Flyer” to Licensee.

There were NO deficiencies cited during today's inspection.

At 10:45 AM exit Interview was conducted, where this report was reviewed and discussed with Licensee. Licensee signed the report acknowledging receipt of documents.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED NEAR THE FRONT ENTRANCE TO THE HOME FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

LIC809 (FAS) - (06/04)

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