198020196-4-5-2022-33-CC-NTCG-CD7UCD-20220405152745

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020196
Report Date: 04/05/2022
Date Signed: 04/05/2022 03:27:56 PM

Document Has Been Signed on 04/05/2022 03:27 PM - It Cannot Be Edited

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:	BAO & YU FAMILY CHILD CARE		FACILITY NUMBER:	198020196
ADMINISTRATOR:	BAO, WEN & YU, MEI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 286-4083
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	14	CENSUS: 5	DATE:	04/05/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:27 PM
MET WITH:	Wen Bao & Mei Yu - Co-Licensees		TIME COMPLETED:	03:41 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) Nolan Tcheng conducted an unannounced annual random inspection to the above facility. At 1:27pm, LPA met with licensee, Wen Bao. Also present during this inspection, is Mei Yu, Co-licensee. The licensee states that she currently has 5 children enrolled. A current children’s roster is available and is current. Licensee’s hours of operation are 8am-6pm, Monday-Friday. This is a two-story home which consists of 5 bedrooms, 4 bathrooms, kitchen, additional kitchen, dining room, back living room used for children play, room used for studying, room designated for napping, front living room (FIREPLACE: in front living room, off limits area of house), three-car garage, front yard and backyard (fenced), and garden. The children use the bathroom in the hallway next to the back living room, back living room, study room, nap room, backyard. Per licensee, areas off limits to children and parents include: upstairs (including bedrooms), kitchen, front living room, dining room, garage, front yard, and garden area of backyard. The licensee provides food for children in care. The licensee states that 3 adults and 1 children currently live in the home. Persons living in home are identified on the attached LIC811. All individuals present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Per licensee, there are no weapons, firearms or bodies of water on the premises. PHYSICAL PLANT At 1:37pm, LPA was lead on a tour of the facility by the licensee. Upon arrival, LPA was let in the facility from the back sliding door. Front of the house is considered off limits and has a gate to make it inaccessible to children in care. There is a staircase in the front of the house that the safety gate makes inaccessible to children in care. The back sliding door enters into the back living room that is used as a child activity space. There are age appropriate toys and equipment present for children in care. REPORT CONTINUES PAGE 1 of 3

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

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: BAO & YU FAMILY CHILD CARE	FACILITY NUMBER: 198020196
	VISIT DATE: 04/05/2022

NARRATIVE

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Emergency Disaster Plan, Parent’s Rights Poster and the Facility License are observed to be posted. Next room to be reviewed was the study room which has age appropriate books, toys, and equipment for children to utilize. The child care areas are safe, clean, and free of hazards. The nap room was reviewed next. During the time of inspection, it was nap time. There are small beds for children in care. The bathroom for children was right next to the nap room. LPA observed child safety locks on the all the drawers and cabinets. Detergents, cleaning compounds, medications, and other items which could pose a danger are inaccessible to children. There are first aid supplies available. At 1:40pm, a fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was purchased on 04/30/2021, as indicated on receipt. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Smoke and carbon monoxide detectors were tested and are operable. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. Per licensee, living room will be used as an area for an ill child until an authorized representative comes to pick up child.

At 1:45pm, LPAs observed the back yard area. The outdoor play area was observed to be fenced. At this time, children are using the back yard for outdoor play time. There are toys and equipment outdoors for children to use. The garden area is made inaccessible to children in care. The licensee is observed to be operating within the license capacity limitations.

FACILITY RECORDS:

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 11/2022. Licensees have not complete mandated reporter training due to Chinese being their primary language. LPA recommended they try the training. The licensees do have proof of immunization against influenza, tuberculosis, pertussis, and measles. Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all the information specified by regulation.

The following was 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.
-There is a fish tank in the back living room. No other pets on premises
REPORT CONTINUES PAGE 2 of 3

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: BAO & YU FAMILY CHILD CARE	FACILITY NUMBER: 198020196
	VISIT DATE: 04/05/2022

NARRATIVE

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-Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family child care facility.
-Smoking is prohibited in a license family child care home.

Infant Care: Licensee states that they are currently caring for infants. LPA advised the licensee to sleep infants where they can be directly supervised at all times and advised the licensee against sleeping infants in a separate room. Licensee states that infants sleep in the nap room. LPA provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS. LPA consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, Sudden Infant Death Syndrome (SIDS), and Safe Sleeping practices. PIN 20-24-CCP was provided and explained during the inspection.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA observed that a COVID-19 Technical Assistance call had been made with facility. LPA observed health and safety practices being conducted at facility.

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative.

Exit interview was conducted with Mei Yu, Licensee, at 3:30pm. Copy of report provided.

REPORT ENDS PAGE 3 of 3

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

LIC809 (FAS) - (06/04)

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