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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 033622932
Report Date: 05/07/2021
Date Signed: 04/02/2022 10:32:09 PM


Document Has Been Signed on 04/02/2022 10:32 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833



FACILITY NAME:CABLE, CHONGFACILITY NUMBER:
033622932
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
05/07/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Chong CableTIME COMPLETED:
11:00 AM
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At 10:00am on May 7th, 2021, Licensing Program Manager (LPM) Jeanne Smith and Licensing Program Analysts (LPAs) Aruna Sridharan and Christopher Jackson met virtually via Zoom with licensee Chong Cable for the purpose of an Informal Meeting.

LPM Smith defined the difference between a Non-Compliance and an Informal Meeting. LPM advised Chong Cable that the purpose of today’s meeting is to help provider gain compliance. Today's informal meeting was to discuss the findings of a recent complaint investigation dated April 14, 2021. LPA Aruna Sridharan discussed the Type A citation issued to licensee regarding lack of supervision in unfenced area and plan of correction.

Licensee Chong Cable explained that she has taken the following steps to maintain supervision:
1) Licensee states that she or her assistants are now providing 100% supervision in the front yard while children are present.
2) Licensee stated that she has obtained permission from parents allowing their child(ren) to ride bikes in the cul-de-sac in front of the licensee’s house.
3) Licensee stated she has rules for children to stop when they see or hear vehicles start or move.
4) Licensee stated she plans on installing a 4-foot high fence in the front yard for the younger children to play.

Licensee has indicated that she understands that she is required to provide 100% care and supervision while children are riding bikes in the cul-de-sac or while playing in an unfenced area.

During today's visit, LPM Smith provided information regarding the Technical Support Program (TSP) and CCLD update regarding care and supervision to the licensee. LPM Smith informed licensee Chong Cable that continued deficiencies may result in further action, including a non-compliance meeting with the Regional Manager.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2021
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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