198016296-9-28-2023-33-CC-SLEE-CW4ST3-20230928140853

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016296
Report Date: 09/28/2023
Date Signed: 09/28/2023 05:18:12 PM

Document Has Been Signed on 09/28/2023 05:18 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	WONG FAMILY CHILD CARE		FACILITY NUMBER:	198016296
ADMINISTRATOR:	WONG, SHELLY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 285-8730
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	14	CENSUS: 4	DATE:	09/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Shelly Wong		TIME COMPLETED:	11:55 AM

NARRATIVE

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Licensing Program Analysts, Seung Lee and Shushan Safaryan conducted an unannounced annual random inspection to the licensed home. Upon arrival, LPAs met with Licensee Shelly Wong and toured the facility. There were 4 children present, along with Licensee's husband and 1 assistant. Individuals residing in the home are the licensee, spouse, mother, and two adult children. Licensee’s operating hours are Sunday- Saturday, 7am-10pm.

The home is a one story, 4-Bed, 3-Bath home. The following areas are used for day-care: Living room, play/nap room, dining room, 1 bedroom (for napping infants), 1 restroom, and backyard. Off limit areas include: Section of the home where bedrooms and remaining restrooms are located. Only one bedroom is used for napping infants which licensee escorts them to. Off limits areas have safety gates.

Licensee has the required postings in the living room on the wall. Licensee's First Aid/CPR certificate are valid through 01/2025, Licensee's disaster drill log notes last drill conducted on 8/13/23. Licensee has a working telephone. Children's files and roster were reviewed.

LPAs inspected all areas used by the daycare children. LPA observed appropriate toys, games, and books for children. Children's restroom was free of hazards and in clean condition. The kitchen has latches on cabinets that store knives and cleaning compounds.

LPA observed the carbon and smoke detectors in the home and found them to be operational. The fire extinguisher, located in the dining room was purchased on 04/23/23. There are no firearms present on the premises as stated by licensee. There are no other pools or spas, or other bodies of water. There are two dogs that reside in the off limits part of the home.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WONG FAMILY CHILD CARE	FACILITY NUMBER: 198016296
	VISIT DATE: 09/28/2023

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There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by the assistant. There were no pools or spas, or other bodies of water observed. There is one dog that resides in the off limits part of the home per Licensee.

During file review, LPAs observed that an assistant who was present in the home (Staff#1) was not associated to this facility number. LPAs did verify that Staff#1 does have a valid criminal record clearance. The Licensee stated Staff#1 attempted to submitted new finger prints but was not sure what happened. Based on the file review and information verified, Staff#1 did not request a transfer of finger prints and instead attempted to submit a new live scan but was not associated due to some error. This is an immediate risk to children in care.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. During file review, LPA Lee observed that the two assistants had current CPR, mandated reporter training certificate, and proof of immunization available.LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs. LPA advised licensee to refer to Section 101173 and 101226 for further information on regulatory requirements. 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: Claudia Guangorena	TELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/28/2023 05:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WONG FAMILY CHILD CARE	FACILITY NUMBER: 198016296
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101170(e)(2)

This requirement is not met as evidenced by: Staff#1 did not have their criminal record clearance associated to this facility number. Staff#1 does have a current criminal record clearance which was verified during the inspection.
	Deficient Practice Statement
1 2 3 4	Based record review, the licensee did not comply with the section cited above in regards to the required documentation for a staff member which poses an immediate health, safety or personal rights risk to children in care.
	POC Due Date: 09/29/2023
	Plan of Correction
1 2 3 4	Licensee stated she will submit the paperwork to have this staff member associated by the POC date. The Licensee agreed to not have the staff member physically present at the facility until the transfer process has been completed and verified.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WONG FAMILY CHILD CARE	FACILITY NUMBER: 198016296
	VISIT DATE: 09/28/2023

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Deficiencies cited during this inspection is available to view on the attached 809D page.

The notice of site inspection along with all pages of this report must remain posted for a period of 30 days during business hours. Failure to maintain posting will result in a civil penalty of $100.00 dollars. LPAs provided Licensee with a LIC 9224. Licensee was advised to obtain signatures from all current parents and future parents for 1 year starting from this date.

Exit interview conducted with Licensee Shelly Wong. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC809 (FAS) - (06/04)

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