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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621189
Report Date: 05/24/2023
Date Signed: 05/24/2023 05:56:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/15/2023 and conducted by Evaluator Corina Beckby
COMPLAINT CONTROL NUMBER: 53-CC-20230515202710
FACILITY NAME:FU, YALIFACILITY NUMBER:
343621189
ADMINISTRATOR:FU, YALIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 893-3063
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY:14CENSUS: 18DATE:
05/24/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Yali FuTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Out of Ratio
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Corina Beckby met with licensee Yali Fu to open and close a complaint investigation, regarding the above allegation. Upon arrival, LPA observed Licensee and 1 adult (not cleared through Guardian) supervising 18 daycare children. LPA made observations; inspected the areas accessible to children, interviewed Licensee and reviewed documents. Based on the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.
Title 22 deficiencies are cited on the subsequent page of this report. Licensee acknowledges, that for TYPE A DEFICIENCIES ONLY upon receipt, Licensee shall post LIC 9099-D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Licensee. LIC 9224 and Appeal Rights were provided. An exit interview was conducted, and a Notice of Site Visit posted which must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Corina BeckbyTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
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 2
Control Number 53-CC-20230515202710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: FU, YALI
FACILITY NUMBER: 343621189
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2023
Section Cited
CCR
102416.5(f)
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The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.
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Licensee stated she will disenroll 6 families and hire a full time assistant to meet licensing regulations for a large family child care home. LPA reviewed capacity limits with Licensee and acknowledges she understands. If no assistant provider is present, the licensee shall comply with the
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This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, caring for 18 children under 5 years old (1 being an infant), which poses an immediatel health, safety or personal rights risk to persons in care.
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capacity requirements for a Small Family Child Care Home of a max capacity of 6 children. LPA will return to verify compliance. Licensee provided a written statement saying she will abide by the capacity requirements.
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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: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Corina BeckbyTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2