013422693-12-19-2023-02-CC-CFES-CYNRAH-20231219115110

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422693
Report Date: 12/19/2023
Date Signed: 12/19/2023 11:51:19 AM

Document Has Been Signed on 12/19/2023 11:51 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	FU, HANPING		FACILITY NUMBER:	013422693
ADMINISTRATOR:	FU, HANPING		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 328-0332
CITY:	ALBANY	STATE: CA	ZIP CODE:	94706
CAPACITY:	14	CENSUS: 7	DATE:	12/19/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Hanping Fu		TIME COMPLETED:	12:00 PM

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On 12/19/2023 at 9:30am, Licensing Program Analysts (LPAs) Catherine Fernandes and Janai Mcclain met with Licensee Hanping Fu for an Unannounced Required Inspection. Present during the inspection was one infant and six preschoolers in care with two finger print cleared helpers. Residing in the home is Licensee, her fingerprint cleared husband and adult child. Licensee’s home was toured for a health and safety inspection. The facility operates 8:00am – 5:30pm, Monday - Friday. The Licensee's adult son was present and was able to translate today's inspection.

The home is a single story house that consists of three bedrooms and two bathrooms. The entrance to the day care is the front door. The inside and outside of the home were observed to be neat, clean with age-appropriate materials and toys for the children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. During today’s inspection, LPAs observed the following precautions accessible cabinets and drawers in the kitchen have safety latches, there are gates to prevent access to off limit areas, the fire place is covered and the floor heaters are covered. Licensee has stated that there are no firearms or pets in the home.

ON LIMITS AREA: The living room which is the main area of day area, the kitchen which is used as a walk through space, the bathroom on the left side of the hallway, and the main area of the backyard.
OFF LIMITS AREA: All of the bedrooms, the right side bathroom, the garage, the driveway, the right side of the yard when facing the house and the back area of the garage which will be inaccessible by closed and/or locked doors or visual supervision.
ISOLATION AREA: will be in the living room at the table.

REPORT CONTINUES ON 809C.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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

FACILITY NAME: FU, HANPING	FACILITY NUMBER: 013422693
	VISIT DATE: 12/19/2023

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The home has a fully charged 2A10BC fire extinguisher in the kitchen, a working smoke detector and carbon monoxide detector located in the living room. Licensee has a working telephone, and all required forms are posted and visible for public view in the childcare room. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 10/27/23 The Licensee's CPR and First Aid certificate is current and expires on 8/2025. The Licensee was reminded of the responsibility as a mandated reporter and will provide proof of the required training for all people caring for children. LPAs did not observe a body of water in or around home. LPAs reviewed four children’s files and all staff files and obtained a current facility roster.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

REPORT CONTINUES ON 809C.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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

FACILITY NAME: FU, HANPING	FACILITY NUMBER: 013422693
	VISIT DATE: 12/19/2023

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies cited during today's inspection

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee's son

Appeal rights, report and Notice of site visit provided.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

LIC809 (FAS) - (06/04)

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