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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017249
Report Date: 07/30/2021
Date Signed: 07/30/2021 10:40:11 AM

COMPREHENSIVE INSPECTION
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:LIANG FAMILY CHILD CAREFACILITY NUMBER:
198017249
ADMINISTRATOR:LIANG, ANNIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 758-7770
CITY:SAN GABRIELSTATE: CAZIP CODE:
91775
CAPACITY:14CENSUS: DATE:
07/30/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Annie Liang, LicenseeTIME COMPLETED:
10:45 AM
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Unannounced required annual inspection conducted by Licensing Program Analyst (LPA) Bardo Baluyot. LPA met licensee, Annie Liang. Upon arrival, LPA observed 1 child in care. Another child arrived towards the end of the visit. File was reviewed and included in the LIC 859. Assistant JIng JIng Li was also present. Licensee guided analyst on a tour of the facility. Licensee and assistants are Cantonese speaking. Visit was conducted in English.

This is a one story home which consists of 3 bedrooms, 3 bathrooms, kitchen, living room, den/activity room and backyard (fenced). The children use the living room, den/activity room, dining room. The children use the restroom in the hallway. Per licensee, areas off limits to children and parents include: 1 bedroom and 2 bathrooms and far end of backyard . Licensee states that total 3 adults live in the home. No minors live in the home. All areas used by children were inspected.

The following was observed during this visit.
  • Detergents, cleaning compounds, medications, and other items which could pose a danger to children are inaccessible to children.
  • Licensee states that there are no poisons in the home.
  • Fireplaces and open face heaters are screened to prevent access by children. Fireplace is inaccessible and heating is central. The home was observed to have heating and ventilation for safety and comfort.
  • The valve on the required 2A 10BC fire extinguisher indicates fully charged and extinguisher was serviced on 06/18/2021 as noted on the tag. Smoke detectors in the den/activity room were tested, and observed to be working. Carbon monoxide detector is available and operational..
  • The home was observed to be clean and orderly.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LIANG FAMILY CHILD CARE
FACILITY NUMBER: 198017249
VISIT DATE: 07/30/2021
NARRATIVE
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  • There are no stairs in the home.
  • There is a working telephone in the home.
  • Outdoor play area is fenced.
  • The capacity specified on the license shall be the maximum number of children for whom care can be provided. The licensee is operating within the license capacity limitations. LARGE FAMILY CHILD CARE HOME: The maximum number of children for whom care shall be provided when there is an assistant in the home, shall be either 12 children, no more than 4 of infants; up to 14 children, if conditions specified in regulations are met.
  • All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. Last drills documented was on 7/21/2021. Per Licensee. Drills are conducted monthly.

  • All individuals present in the home have obtained a criminal record clearance.

  • The licensee and assistant Jing Jing Li are current in Pediatric First Aid and CPR that will expire on 06/20/2023.


The following items were also discussed with licensee during this visit.
  • There are no firearms, weapons, bodies of water or pets on the premises.
  • Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted
  • Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.
  • No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LIANG FAMILY CHILD CARE
FACILITY NUMBER: 198017249
VISIT DATE: 07/30/2021
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Staff and Children’s Records were reviewed for completeness; Inspection of required forms was made. A Child Care Provider's Guide to Safe Sleep handout was provided and discussed. LPA observed affidavit for liability insurance form in children's files. Licensee completed the Mandated Reporter Training on 1/19/18 with the help of a translator but has not renewed it. Licensee called son/interpreter who helped her initially. Per interpreter, he will retake with mom asap. Certificate observed.

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) 514-0388 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

No deficiency cited.

Exit interview was conducted with Annie Liang, licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. Notice of Site Visit form was provided and explained. The notice shall be posted for 30 days or a civil penalty of $100 shall be assessed.

REPORT END 3 of 3
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC809 (FAS) - (06/04)
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