191596512-4-5-2022-33-CC-SLEE-CD7PJ3-20220405112051

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191596512
Report Date: 04/05/2022
Date Signed: 04/05/2022 11:21:05 AM

Document Has Been Signed on 04/05/2022 11:21 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	TSENG FAMILY CHILD CARE		FACILITY NUMBER:	191596512
ADMINISTRATOR:	TSENG, WENDY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 458-8628
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	14	CENSUS: 5	DATE:	04/05/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Wendy Tseng		TIME COMPLETED:	11:35 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	Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Licensee Wendy Tseng who was present with 5 children in care. The following was observed during the inspection. This facility is a single story home which consists of 2 bedrooms, one of which is used as an office, 2 bathrooms, living room, dining room, den, kitchen, laundry room, front and back yards. The home was inspected for safety, comfort, cleanliness, ventilation, and telephone service (land line). Children have access to the office, living room, dining room, middle bathroom, den and back yard. Off-limits to children in care are the master bedroom and bathroom, kitchen, and laundry room. Licensee states that she lives alone and is the only occupant of her facility (home). All individuals have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Detergents, cleaning compounds, medications, and other items which could pose a danger, were inaccessible to children during this inspection. LPA observed a fully charged 2-A:40-B:C fire extinguisher and the attached service tag indicates it was last serviced on 05/19/2021. Licensee's CPR is valid until 06/2023. The mandated reporter certificate was completed on 07/5/21. Last emergency/fire drill with children was conducted on 03/30/2022 per log. The smoke and carbon monoxide detectors were working properly. There are age appropriate toys available for children. Per licensee, there are no weapons, firearms, pets, or bodies of water on the premises.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TSENG FAMILY CHILD CARE	FACILITY NUMBER: 191596512
	VISIT DATE: 04/05/2022

NARRATIVE

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During the inspection, Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all of the information required by regulation.

The following items were also discussed with licensee during this inspection:

Licensee was advised to continue to follow the latest guidelines from the CA department of health in regards to family child care homes.

·POSTING REQUIREMENTS: Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.
· Infant Walkers, Johnny Jumpers, Saucer Chairs, or any other item that falls into these categories are not permitted in a family child care facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME.

Infant Care: Licensee states that she does not care for infants at this time.

Incidental Medical Services (IMS): The licensee states that there are no children enrolled that require IMS at this time. 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.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TSENG FAMILY CHILD CARE	FACILITY NUMBER: 191596512
	VISIT DATE: 04/05/2022

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LPA advised the Licensee on how to access forms and regulations on line at: www.ccld.ca.gov.

LPA also advised Licensee on how to obtain the Department's Quarterly Updates via the following website address: www.childcareadvocatesprogram@dss.ca.gov

Based on LPA’s observations and records review, there are zero deficiencies being cited during this inspection. Licensee is in compliance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Wendy Tseng, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

LIC809 (FAS) - (06/04)

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