198019963-9-23-2019-33-CC-SLEE-BGAUCW-20190923152837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019963
Report Date: 09/23/2019
Date Signed: 09/23/2019 03:28:42 PM

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:	YEH & HSU FAMILY CHILD CARE		FACILITY NUMBER:	198019963
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	09/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Fay Yeh & William Hsu. .		TIME COMPLETED:	03:45 PM

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	Licensing Program Analyst (LPA) Seung Lee conducted unannounced random inspection. Upon arrival, LPA Lee met with Licensees Fay Yeh and William Hsu, who guided analyst on a tour of the facility. Adults residing in the home are the two Licensees and two adults (Licensees' Parents). LPA Lee observed 6 children present with the 2 Licensee's and an assistant. Hours for the family child care home are M-F 9AM-6PM. All areas identified on the facility sketch were inspected. This is a one story home which consists of 4 bedrooms, 4 bathrooms, kitchen, living room, family room, guest house, garage, sun room, backyard (pool area (fenced), back patio and front yard. Day care area includes: Living room, 1 bedroom, 2 bathrooms, and parts of the backyard.Areas off limits to children and parents include: Kitchen, 3 bedrooms, 1 bathrooms, guest house, garage, back yard (pool area). The doors to these areas are locked Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible. Per Licensees, there are no poisons on the premises. Per Licensees, there are no weapons or firearms on the premises. There are 2 dogs in the home that will be kept in an off limit area (back yard). One dog is a poodle and the other is a lab. There is a pool on the premises. The pool is located in the backyard behind the garage and guest house. There is no direct access to the pool unless the garage door is open. The garage door is automated. Per Licensees the garage door will be kept closed at all times. In order to access the pool area, individuals are required to go through the converted garage that is locked and off limits. Licensee's CPR expires 07/2021 and Fire Extinguisher has been serviced on 08/15/2019 per Tag. Fire Drill was conducted 08/13/2019. The Licensees have applied for a capacity increase application. Fire Clearance has been approved and was received by the Monterey Park Regional office. Licensee's understands that this report along with the application will be submitted for a final review. The Licensees understood that they cannot operate under the new capacity until they have been notified by the regional office.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

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: YEH & HSU FAMILY CHILD CARE	FACILITY NUMBER: 198019963
	VISIT DATE: 09/23/2019

NARRATIVE

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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. Children and staff files were reviewed during this inspection.

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.

No Deficiencies were cited on this visit

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs. LPA advised LIcensee to refer to Section 101173 and 101226 for further information on regulatory requirements. Regulation Interpretations and Procedures for Child Care Centers Section 102417. 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.

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

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 Licensees Fay Yeh and William Hsu. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

LIC809 (FAS) - (06/04)

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