013422807-1-24-2024-52-CC-BPLY-CZSQ4Z-20240124105110

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422807
Report Date: 01/24/2024
Date Signed: 01/24/2024 10:51:15 AM

Document Has Been Signed on 01/24/2024 10:51 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	LIN, YANLING		FACILITY NUMBER:	013422807
ADMINISTRATOR:	LIN, YANLING		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 829-8663
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	14	CENSUS: 3	DATE:	01/24/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Yanling Lin- Licensee		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 1/24/24, Licensing Program Analyst Briana Plumboy, met with licensee Yanling Lin for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was licensees fingerprint clear and associated assistant Betty Huang, 1 infant, 2 preschool age children, and licensees fingerprint clear and associated son Dayong Lin who helped with translation during the inspection. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 8:00am until 6:30pm. The home is single story. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are: master bedroom, master bathroom, (2) additional bedrooms, kitchen, and laundry room closet area which will be inaccessible by a barrier gate / closed and/or locked doors and visual supervision. There is a gate located at the top of the stairs upon entrance to the children's playroom to separate the two levels. The ON LIMIT AREAS: the living room, dining room, children play room, hallway bathroom, and the backyard. The ISOLATION AREA will be the living room. There is a gate located between the dining room and kitchen to prevent access to the kitchen which is off limit. The BACKYARD play area is fenced and the children play on the cement area in the backyard only. The garden area in the backyard is off limit to children in care. There is a garage located inside the backyard which is off limits and licensee is aware she must keep the door closed while children are in care. Licensee has a drinking fountain/water faucet located inside the backyard which drains into a bucket. Licensee is aware the bucket of water may not have any standing water. There are toys that appear to be safe and in good condition during today's inspection. There are no pools or hot tubs present today during the inspection. It was observed that there are no toxins or hazardous items accessible during the inspection. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The licensee CPR and First Aid certificate is current and expires 04/8/25. The licensee is in compliance with the immunization law. There is a combined AC and heating unit located inside the play room which is screened with a fence to prevent access by children. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted 12/5/23. Licensee and Betty currently have waivers on file for the mandated reporter training until it is available in Mandarin. Licensee is documenting safe sleep checks and utilizing Lic. 9227 for infants under 1 year old. See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LIN, YANLING	FACILITY NUMBER: 013422807
	VISIT DATE: 01/24/2024

NARRATIVE

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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 encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Family Child Care Homes 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.

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.

See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LIN, YANLING	FACILITY NUMBER: 013422807
	VISIT DATE: 01/24/2024

NARRATIVE

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The licensee provided proof of control of property.

LPA discussed the safe sleep regulations with licensee Yanling Lin and son Dayong Lin who translated and discussed the Child Care Licensing Safe Sleep webpage 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility.

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

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Yanling Lin.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

LIC809 (FAS) - (06/04)

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