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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423317
Report Date: 07/14/2021
Date Signed: 07/14/2021 10:58:57 AM

Document Has Been Signed on 07/14/2021 10:58 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:KUANG, HUITINGFACILITY NUMBER:
013423317
ADMINISTRATOR:KUANG, HUITINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 431-8279
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/14/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Huiting KuangTIME COMPLETED:
11:15 AM
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On 7/14/2021 at 9:00am, Licensing Program Analyst (LPA) Jonathan Williams met with Licensee, Huiting Kuang, for a Required 1 Year Inspection. Present for this inspection are the Licensee, the Licensee's two school-age children, the Licensee's husband, the Licensee's father, and the Licensee's mother. No children in care were present during this inspection. Facility operating hours are Monday through Friday from 8:30am-6:00pm. The facility was toured to conduct a Health and Safety Inspection.

The home is a 1 story home and is tidy and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are living room, kitchen, laundry room, dining room, bathroom, bedroom 1, backyard playground area, outdoor learning facility, and outdoor playground facility. The OFF LIMIT AREAS are bedroom 2, bedroom 3, back unit, green shed, flower garden, and side yard closest to the house, all of which will be made inaccessible to children by closed and/or locked doors, barricade, and visual supervision. The ISOLATION ROOM is bedroom 1.

The backyard was observed to be fenced and was observed to be free of dangerous defects and conditions during this inspection. LPA observed there to be toys and learning materials in the facility throughout the inspection. LPA observed there to be no pools, hot tubs, ponds, or any other bodies of water in the on-limits areas during today's inspection. Per Licensee, there are no firearms kept in the home. Per Licensee, the home has central heating. Per Licensee, nobody smokes in the facility. The Licensee conducts fire/disaster drills at least every six months.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2021
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KUANG, HUITING
FACILITY NUMBER: 013423317
VISIT DATE: 07/14/2021
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LPA observed the facility to have a fully charged 3A40BC fire extinguisher. Smoke detector and carbon monoxide detectors were tested and confirmed by LPA to be functional. Licensee has a working telephone. Per Licensee, CPR/1st Aid training renewal has been scheduled for the forthcoming weekend. Licensee has current certificates for required Mandated Reporter trainings ("General" and "Child Care Providers") which expire on 2/15/2023. Records for all children enrolled at facility were reviewed.

Incidental Medical Services (IMS) policy was discussed. 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 assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.
Licensee was reminded that California Law requires licensed Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the Licensee that all forms can be downloaded at www.ccld.ca.gov and encouraged the Licensee to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The Licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Licensee was reminded of the requirement to request the facility be placed on "inactive" status during temporary periods of time when no care to children is provided.

There are no deficiencies cited. This report shall remain on file for 3 years. A Notice of Site Visit was provided to the Licensee. LPA reminded the Licensee to post the Notice of Site Visit where it is clearly visible inside the facility for 30 days. Appeal rights were provided to the Licensee. Exit interview was conducted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
LIC809 (FAS) - (06/04)
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