198018431-1-24-2020-33-CC-CGUA-BNHRNX-20200409131103

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018431
Report Date: 01/24/2020
Date Signed: 01/24/2020 03:23:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/15/2020 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200115125658

FACILITY NAME:	CAO & CHIANG FAMILY CHILD CARE		FACILITY NUMBER:	198018431
ADMINISTRATOR:	CAO,LING YAN & CHIANG,BOB		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 513-0168
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	14	CENSUS: 11	DATE:	01/24/2020
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Yan Ling Cao		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staffing Ratio and Capacity:

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPAs) Cynthia Reyes, and Thelma Razo, arrived unannounced at the facility for the purpose of conducting a complaint inspection regarding the allegation listed above. LPA met with Yan Ling Cao.

Upon arrival LPAs observed 11 children napping with only the licensee Yan Ling Cao present who stated her husband, who is the co-licensee went out to do errands and wont be back for about 20 minutes. No other adults such as an assistant were present in the facility on this date. During the inspection LPA asked the licensee if she has any of her own children in the home at this time and licensee stated her 14 and 16 year old children are on the other side of the house. LPAs informed the licensee that she may use her two children as assistants as long as they are never alone with the day care children. Licensee stated usually her and her husband are always here together.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
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.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 33-CC-20200115125658

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 01/24/2020

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
26
27
28
29
30
31
32

This agency has investigated the complaint alleging the facility is operating out of ratio. Based upon the evidence as listed above, the preponderance of evidence standard has been met and the allegation has been determined to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 102416.5 "Staffing Ratio and Capacity" is being cited on the attached LIC 9099D.

Please refer to 9099D for documentation of deficiencies.

Upon receipt, the Licensee shall post the Notice of Site Visit and the Licensing report. This report and the Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.

A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return.

A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next twelve (12) months.

The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent. LPA provided Licensee with a blank copy of the LIC 9224 Acknowledgement of Receipt of Licensing Report.

An exit interview has been conducted and Appeal Rights have been provided and explained to Licensee Yan Ling Cao. A copy of this report has been signed by and provided to Licensee Yan Ling Cao

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
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

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20200115125658

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 01/24/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/24/2020 Section Cited CCR 102416.5(d)(e)	1 2 3 4 5 6 7	STAFFING RATIO AND CAPACITY: For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements	1 2 3 4 5 6 7	Licensee states she will write a statement to the department explaining how she will ensure this does not happen again and how she understands the regulation regarding ratio and how it changes when she has an assistant present as opposed to when she is alone.
	8 9 10 11 12 13 14	for a Small Family Child Care Home. This requirement is not met as evidenced by LPAs observed 11 children napping with only the licensee Yan present who stated her husband went out to do errands and wont be back for about 20 minutes. This is an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC9099 (FAS) - (06/04)

Page: 3 of 3