<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422775
Report Date: 09/01/2021
Date Signed: 09/01/2021 10:21:04 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:LI, WEI JIE & WANG, LI QINGFACILITY NUMBER:
013422775
ADMINISTRATOR:WEI JIE LI & LI QING WANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 709-1181
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 6DATE:
09/01/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:59 AM
MET WITH:LiQing WangTIME COMPLETED:
10:25 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 September 1, 2021 at approximately 7:59am Licensing Program Analyst (LPA) Haderer arrived for an announced case management inspection visit to change the status of daycare from inactive to active. On arrival present in the home today was licensee LiQing Wang. During the visit, licensee’s fingerprint and TB cleared helper arrived and 6 children (there were four over age 2 and two over age 3). Hours of operation remain the same at 9:00am to 6:30pm.

The facility is a two-story home with 4 bedrooms, 2 ½ bathrooms, a kitchen, dining room, living room, family room and an attached 2-car garage, front, back and side yards. The home also has an attached one bedroom mother-in-law apartment. Licensee will update the facility sketch LIC999A and resubmit due to some minor modifications. The home on and off limits will remain as originally licensed.

ON LIMIT AREAS: Living room, dining room, family room , downstairs ½ bathroom near the small garage door, the front, southside and back yards. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products.

OFF LIMIT AREAS: The kitchen, the entire upstairs and bedrooms, the one-room mother-in-law apartment, attached 2-car garage and the north side yard. The off-limit areas will be inaccessible by child gates, closed and/or locked doors and adult supervision.



The home has a fully charged 2A10BC fire extinguisher in the entryway, smoke detectors and carbon monoxide detector (all tested and working) and a working telephone.

The licensee has a friendly family dog that is kept in the side yard and garage away from children in care.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: LI, WEI JIE & WANG, LI QING
FACILITY NUMBER: 013422775
VISIT DATE: 09/01/2021
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
26
27
28
29
30
31
32
The licensee and her helper updated their CPR / 1st Aid certificates, both now expire 8/14/2023. Mandated Reporter training is not required until it becomes available in Mandarin language. Licensee was reminded that CPR/1st Aide is to be renewed every two years. The licensee is in compliance with the immunization laws which pertains to day care providers.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] 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.

LPA reviewed guidance on operating safely during the Covid pandemic. Posters were present and the checking in process of children was reviewed.
This home is approved to return to Active Status as of today. The report will remain on file for three years.

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

Exit interview conducted and report was reviewed with the licensee LiQing Wang.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2