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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018431
Report Date: 01/24/2020
Date Signed: 01/24/2020 03:17:13 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: 11DATE:
01/24/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ling Yan Cao, LicenseeTIME COMPLETED:
03:30 PM
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An unannounced Plan of Correction (POC) visit was conducted by Licensing Program Analysts (LPA) Thelma Razo and Cynthia Reyes. LPAs met with Licensee Ling Yan Cao during this visit and stated that the purpose of the visit is to ensure that the deficiencies cited during the Case Management on 1/14/2020 have been corrected.

Licensee have corrected the following deficiencies:
  • Section 102417(g)(8) - current children's roster was provided during this inspection.
  • H&S Code 1596.954 - carbon monoxide was operational.


The above deficiencies issued on 1/14/2020 have been corrected and are being cleared today. A Letter of Deficiency Citations Cleared and copy of report were provided to Ms. Cao.

Licensee was advised other deficiencies that were cited which are due on 1/27/2020 has to be corrected and proof submitted by that date.

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 conducted with Ms. Cao.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
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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