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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304312921
Report Date: 03/08/2022
Date Signed: 03/08/2022 01:54:40 PM


Document Has Been Signed on 03/08/2022 01:54 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



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: 11DATE:
03/08/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Mingqiong ZhangTIME COMPLETED:
02:00 PM
NARRATIVE
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An unannounced Case Management Inspection was conducted on this day by Licensing Program Analysts (LPAs) Alanna Gontarek and Dianna Valdez Santana. LPAs met with Licensee, Mingqiong Zhang who guided LPAs on a tour of the facility. Census was taken. LPAs observed 11 children and 2 staff present upon arrival.
Licensee was operating within the licensed capacity as specified on license.

There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.

Exit interview conducted with Licensee, Mingqiong Zhang. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights.

Notice of Site Visit has been posted (LIC9213). The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in a visible location for the authorized representatives of children.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2022
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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