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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018644
Report Date: 02/19/2020
Date Signed: 02/19/2020 02:49:55 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:GAO FAMILY CHILD CAREFACILITY NUMBER:
198018644
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 7DATE:
02/19/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Xiaoming MiaoTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analysts (LPA's) Bardo Baluyot and Crystal Green conducted a unannounced case management inspection to the above facility for a capacity increase. Licensing is requesting to increase from a small family home to a large. Upon arrival LPA's were greeted by Licensee's spouse, Xiaoming Miao. Also present was Licensee Liqing Gao. Due to licensee primarily language being Chinese licensing staff communicated through Licensee's spouse.

At approximately 1:17 pm upon entry of the home, Licensing staff observed 6 infants located in the living room area, 4 children were observed napping in cribs and 2 were observed napping on mats on the floor. LPA's then observed the licensee coming from the hallway with an additional infant in her arms going into the bathroom. Census was immediately taken to be at 7. Per Licensee spouse, none of the children observed present was enrolled in school. California Code of Regulation Title 22 Section 102416.5(a) states a small family day care home may provide care for more than six and up to eight children, however the seventh child must be in enrolled in and attending kindergarten or elementary school. After conducting a file review it wasw determined that all the children present were under the age of 3. Licensee's was directed by licensing staff to call a parent to have one child picked up. Mother arrived minutes after at approximately 1:43 pm. At this time, facility is not in compliance and their request for a capacity increase is under review. See 809d.

Exit interview was conducted with Licensee and Licensee's spouse. Appeal rights have been provided and explained. The Notice of Site Visit (LIC9213) -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.
Note:* Any Licensing reports indicating a Type A deficiency shall be posted immediately and for the next 30 days and copies provided of this licensing report to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224)
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2020
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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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: GAO FAMILY CHILD CARE
FACILITY NUMBER: 198018644
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/19/2020
Section Cited

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Staffing Ratio and Capacity
The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.This requirement was not met as evidenced by at approximately 1:17 pm upon entry of the home, LPA's observed licensee taking baby into another room. Census was immediately taken to be at 7
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After licensing staff conducted children file review it was determined tha none of the children present were enrolled in school. Other children napping on mats on the floor and in cribs in living room/day care area. This poses an immediate risk to the health and safety of children in care.
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To ensure Licensee understands staffing ration and capacity requirements, LPA's discussed and provided corresponding information.

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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: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2020
LIC809 (FAS) - (06/04)
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