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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018431
Report Date: 08/09/2019
Date Signed: 08/09/2019 01:15:22 PM

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:CAO & CHIANG FAMILY CHILD CAREFACILITY NUMBER:
198018431
ADMINISTRATOR:CAO,LING YAN & CHIANG,BOBFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 513-0168
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:14CENSUS: 5DATE:
08/09/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Ling Yan Cao & Bob ChiangTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Ariel Cazares and Alicia Mooberry conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensees Ling Yan Cao & Bob Chiang and toured the facility. There were 5 children present. Individuals residing in the home are the licensees and two children. Licensee’s operating hours are Monday-Friday 6am-6pm.

The home is a one story, 2-Bed, 2-Bath home. The following areas are used for day-care: Living Room, 1 restroom, the kitchen and back yard. Off limit areas include: 2 bedrooms, 1 bathroom, the office, an outdoor pantry space, sections of the backyard and detached garage, and front yard.

Licensee has the required postings on a board at the entrance of the facility. First Aid/CPR certificates are valid through 12/1/2020 for both licensees. Licensee's disaster drill log notes last drill conducted on 5/14/19. Licensee has a working telephone.

LPAs inspected all areas used for the daycare. The living room is the primary daycare activity space. The children's restroom was observed to be hazard free and in good condition. The carbon monoxide and smoke detectors located in the living room were tested and found to be operable. LPAs inspected 2 fire extinguishers which were both purchased in 6/28/17 but have not been serviced since then. LPA advised licensees to service one of them or purchase a new one. There were electrical outlet covers throughout and First Aid Kit located at entrance of facility. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: CAO & CHIANG FAMILY CHILD CARE
FACILITY NUMBER: 198018431
VISIT DATE: 08/09/2019
NARRATIVE
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  • LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

Deficiencies were cited in accordance with California Code of Regulations Title 22. See 809-D.

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

Exit interview was conducted with Licensee Ling Yan Cao. A copy of this report and appeal rights were provided and discussed.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: CAO & CHIANG FAMILY CHILD CARE
FACILITY NUMBER: 198018431
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2019
Section Cited
CCR
102417(g)(1)
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The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal.
This requirement has not been met as evidenced by LPAs inspection of the fire extinguishers in the home. There is no proof of service within the last year and receipt
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Per licensee, he will purchase a new fire extinguisher. A photo of the receipt will be submitted to LPA by POC due date of 8/16/19.
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for proof of purchase is dated 6/28/17.
This poses a potential risk to the health and safety of children in care.
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Type B
08/16/2019
Section Cited
CCR
102417(g)
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The home shall be free from defects or conditions which might endanger a child.
This requirement has not been met as evidenced by LPAs observation of metal fencing covering floor where a tree was removed in the children's yard space.
This poses a potential risk to the health and safety of children in care.
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Per licensee, he will barricade around the area to make inaccessible. A photo will be submitted to LPA by POC due date of 8/16/19.
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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 GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: CAO & CHIANG FAMILY CHILD CARE
FACILITY NUMBER: 198018431
VISIT DATE: 08/09/2019
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LPAs inspected the section of the backyard children use for play. LPAs observed metal fencing parts laying on the floor over an area of the ground that licensee stated a tree was removed from. LPA advised to remove the parts as they can cause an injury or pose a tripping hazard to children playing in the area. There were no pools or spas, or other bodies of water observed during this inspection. Currently there are no pets. The garage in the back is off-limits via gates.

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.


  • 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. A copy of the Safe Sleep Concepts was provided.
  • 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
  • A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4