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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304312921
Report Date: 04/16/2021
Date Signed: 04/16/2021 02:00:18 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/21/2021 and conducted by Evaluator Ryan Joseph Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210121121838
FACILITY NAME:ZHANG, MINGQIONG & ZHANG, HANJIEFACILITY NUMBER:
304312921
ADMINISTRATOR:ZHANG, MING & ZHANG, HANJIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 887-3581
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: 10DATE:
04/16/2021
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Hanjie Zhang - licenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Children are able to exit the home unsupervised
INVESTIGATION FINDINGS:
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Tele-Investigation due to Covid-19 State of Emergency

On 04/16/21 Licensing Program Analyst (LPA), Ryan Chan conducted a Tele- investigation via Facetime to deliver the finding for an allegation stating a child was crying for an extended period of time. LPA met with licensee Hanjie Zhang via Facetime application who guided LPA on a tour of the facility. LPA notified the licensee that due to Covid-19 and Department of Public Health (DPH) guidelines of social distancing a tele investigation is conducted. There were a total of 10 children: 3 infants and 7 preschool aged with 3 staff at the facility.

A review of the Facility Personnel Report Summary on 04/16/21 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (Continued on page 2)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
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 7
Control Number 06-CC-20210121121838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ZHANG, MINGQIONG & ZHANG, HANJIE
FACILITY NUMBER: 304312921
VISIT DATE: 04/16/2021
NARRATIVE
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Page 2
On 01/21/21 Orange County Child Care Office received a complaint allegation stating children are able to exit the home unsupervised.

LPA conducted interviews on 01/29/21, 03/15/21, and 03/16/21 with 3 staff, 8 parents, and 2 children. LPA also reviewed staff and children’s rosters. Interviews with 3 of 3 staff revealed children only play inside the home and the backyard. All 3 stated the front door is always closed and parents have to ring the doorbell to pick up or drop off their child. Interviews with 1 of 2 children revealed children only play inside and the backyard. Interviews with 8 of 8 parents revealed they had to ring the doorbell when they drop off and pick up their child. 1 of 8 parents stated sometimes the door is already open when another parent is already there and they come in behind them.

During the course of the investigation, LPA was able to obtain images which show the front door of the facility open and a preschool aged child wandering out of the facility unsupervised and unaccompanied until the child was escorted back and the licensee notified. This constitutes an absence of supervision on the licensee’s end. LPA reminded licensee children need to be supervised 100 percent of the time and the children in their care are their responsibility until the children are picked up by their parents. It was discovered during the investigation this incident was not reported by the licensee to the Department. LPA reminded licensee to report any unusual incidents that threaten the health and safety of children in care.

Based on interviews and records reviewed, the facility was not in compliance and violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed and cited at the time of the visit. The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited today: Reporting Requirements 102416.2(b)(2)

102416.2 Reporting Requirements:


(b) The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.
(2) Any child absence means any instance where a child in care is missing. For example, any child in care who wanders away from the Family Child Care Home, is lost during an outing, or does not return from school, shall be reported even if the child is later found safe.
(Continued on page 3)
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20210121121838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ZHANG, MINGQIONG & ZHANG, HANJIE
FACILITY NUMBER: 304312921
VISIT DATE: 04/16/2021
NARRATIVE
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Page 3

Based on LPAs observations, interviews conducted, and records reviewed, The licensee failed to ensure that children in care are supervised at all times.This requirement was not met as evidenced by images of a child unsupervised outside this facility. Therefore, the preponderance of evidence standard has been met, therefore the above allegation children are able to exit the home unsupervised is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Section 102417(a), is being cited on the attached LIC 9099D. An immediate civil penalty of $500 will be assessed.

Operation of a Family Child Care Home:
102417(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Licensee states she will ensure front door is always closed and locked. Licensee installed a gate in the hallway leading to the front door but states the gate is approximately 24 inches tall, licensee will install a gate that is higher so children are not able to go over the gate and will ensure gate is always closed and locked. Licensee will notify the Department of any unusual incidents that occur at the facility.

This case will be referred to the Regional Manager due to prior serious citations in which a noncompliance conference on 5/09/17 and an informal meeting on 03/10/20 were conducted.

Exit interview was conducted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. (The "Read Receipt" or licensee's email is in lieu of a signature). First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 06-CC-20210121121838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ZHANG, MINGQIONG & ZHANG, HANJIE
FACILITY NUMBER: 304312921
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/16/2021
Section Cited
CCR
102417(a)
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102417 Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times...

This requirement was not met as evidence by:
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Licensee states she will ensure front door is always closed and locked. In addition, icensee will install a gate that is higher so children are not able to go over the gate and will ensure gate is always closed and locked. LIcensee will provide statement to LPA stating front door will always be closed and locked and 100 percent supervision

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Based on images provided to LPA, LPA was able to observe a child outside this facility unsupervised. This poses an immediate risk to the health and safety of children in care.
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will be provided to children and that staff have been informed and trained on supervision.
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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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 06-CC-20210121121838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ZHANG, MINGQIONG & ZHANG, HANJIE
FACILITY NUMBER: 304312921
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/16/2021
Section Cited
CCR
102416.2(b)(2)
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102416.2(b)(2) Reporting Requirements (b) The licensee shall report to the Department any of the events...(2) Any child absence means any instance where a child in care is missing...shall be reported even if the child is later found safe.

This requirement was not met as evidence by:
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Licensee will complete unusual incident report form for this incident. Licensee will provide LPA statement stating she will report any unusual incidents to the Department moving forward.
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Based on interviews and records reviewed licensee failed to report incident of child wandering out of the facility unsupervised. This poses a potential risk to the health and safety of children in care.
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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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/21/2021 and conducted by Evaluator Ryan Joseph Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210121121838

FACILITY NAME:ZHANG, MINGQIONG & ZHANG, HANJIEFACILITY NUMBER:
304312921
ADMINISTRATOR:ZHANG, MING & ZHANG, HANJIFACILITY TYPE:
810
ADDRESS:87 REMBRANDTTELEPHONE:
(949) 887-3581
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: 10DATE:
04/16/2021
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Hanjie Zhang - licenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child was crying for an extended period of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Tele-Investigation due to Covid-19 State of Emergency

On 04/16/21 Licensing Program Analyst (LPA), Ryan Chan conducted a Tele- investigation via Facetime to deliver the finding for an allegation stating a child was crying for an extended period of time. LPA met with licensee Hanjie Zhang via Facetime application who guided LPA on a tour of the facility. LPA notified the licensee that due to Covid-19 and Department of Public Health (DPH) guidelines of social distancing a tele investigation is conducted. There were a total of 10 children: 3 infants and 7 preschool aged with 3 staff at the facility.

A review of the Facility Personnel Report Summary on 04/16/21 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (Continued on page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 06-CC-20210121121838
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ZHANG, MINGQIONG & ZHANG, HANJIE
FACILITY NUMBER: 304312921
VISIT DATE: 04/16/2021
NARRATIVE
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Page 2

On 01/21/21 Orange County Child Care Office received a complaint allegation stating a child was crying for an extended period of time approximately 15 to 20 minutes long.

During the course of the investigation, LPA conducted interviews on 01/29/21, 03/15/21, and 03/16/21 with 3 staff, 8 parents, and 2 children. LPA also reviewed staff and children’s rosters. Interviews with 3 of 3 staff revealed children are consoled immediately and stop crying usually within 2 to 5 minutes. One staff member stated there are times when some children will cry longer because they get emotional and upset during play, sometimes children will cry because it is a new environment and the child may be trying to adapt to the changes. Staff try to find out what is bothering the child, comfort, and redirect. Interviews with 1 of 2 children revealed staff check on children when they cry while the other child interviewed stated no one cries at the facility. LPA also contacted local law enforcement to see if any 911 calls have been made by concerned residents, none were made. LPA also interviewed parents who have access to cameras posted throughout the facility using an app. Interviews revealed 7 of 8 parents check the cameras and have no concerns with what they see, 1 of 8 parents don’t check the cameras. Interviews revealed 8 of 8 parents were happy with the care and supervision provided at this facility.

This agency has investigated the complaint alleging a child was crying for an extended period of time; although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. (The "Read Receipt" or licensee's email is in lieu of a signature). First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
LIC9099 (FAS) - (06/04)
Page: 7 of 7