013423378-3-1-2023-02-CC-DCAS-CPHVST-20230301154204

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423378
Report Date: 03/01/2023
Date Signed: 03/01/2023 03:42:27 PM

Document Has Been Signed on 03/01/2023 03:42 PM - 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:	HUANG, PEI PING		FACILITY NUMBER:	013423378
ADMINISTRATOR:	HUANG, PEI PING		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 325-9948
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94601
CAPACITY:	14	CENSUS: 5	DATE:	03/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Pei Ping Huang		TIME COMPLETED:	04:00 PM

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 3/01/2023 at 1:30pm Licensing Program Analyst (LPA) Diana Campos arrived at the facility mentioned above and met with licensee Pei Ping Huang to conduct an unannounced Annual Required inspection. Present during the inspection was the licensee, her spouse and her adult son. Also present during the inspection were 4 preschool children in care. The home is a multi level home, which is neat and clean with heating and ventilation for safety and comfort. The first level consists of the basement, which is used for laundry and storage, and the garage. The second level consists of the living room, dining room, kitchen, two bedrooms, one bathroom, and a small area next to the living room that is used as an activity or drawing room. The third level of the home consists of three bedrooms and one bathroom. The on limit areas will be the living room, dining room, kitchen, bedroom next to the living room, the bathroom inside of this bedroom and the small activity/drawing room next to the living room. The off limit areas will be the garage, the basement, the bedroom next to the kitchen, and the entire third level of the home as well as the backyard. The off limit areas are inaccessible by gate, closed and/or locked doors and visual supervision. The isolation area will be a section of the bedroom next to the living room, away from other children in care. There is a gate at the bottom of the stairs, leading to the third level. The licensee will utilize the local park for outdoor play as well as the front yard of the home which is fully fenced. The licensee understands that she needs to contact Licensing and have an inspection of any areas to be changed from off limits to on limits, prior to their use. There are ample age appropriate toys that are safe and in good repair. LPA did not observe any pools, hot tubs, or any other bodies of water. LPA did not observe any sharp or hazardous items accessible to children during today's inspection.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

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: HUANG, PEI PING	FACILITY NUMBER: 013423378
	VISIT DATE: 03/01/2023

NARRATIVE

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The home has a fully charged 3A40BC fire extinguisher, working smoke detector, pull down fire alarm, carbon monoxide detector, telephone, and fully stocked first aid kit. The licensee has a current CPR/First Aid certificate that expires 07/01/2023. Per applicant, there are no firearms in the home. Per licensee there is one dog in the home. Children's files were reviewed. Children's roster was reviewed and a copy obtained.
The licensee was reminded of the requirement for an assistant, at least 14 years of age, to be present in the home for a large family child care home. If an assistant is not present, the capacity requirement for a small family child care home must be followed. LPA reviewed the capacity and ratio for a large family child care home license. Safe sleep regulations were discussed with the licensee and translated to licensee by her adult son.

Family Child Care Home currently NOT providing IMS
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

LPA discussed the safe sleep regulations with licensee 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.
There are 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.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

LIC809 (FAS) - (06/04)

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