<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845390
Report Date: 06/04/2021
Date Signed: 06/08/2021 09:30:04 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MU FAMILY CHILD CAREFACILITY NUMBER:
364845390
ADMINISTRATOR:MU,JUANJUANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(781) 605-8519
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:14CENSUS: 5DATE:
06/04/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Juan Juan MuTIME COMPLETED:
04:51 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
Due to COVID-19, a tele-inspection was conducted. Facility was temporarily closed for the pandemic and has recently reopened on 6/2/2021. Licensing Program Analyst (LPA) Kim Leung met with licensee Juan Juan Mu via FaceTime conducting a case management inspection to provide technical assistance on the reopening of the facility. The inspection was conducted in Mandarin as licensee's primary language is Mandarin.

During the inspection, LPA reviewed and discussed the COVID-19 guidelines, resources, and postings with licensee. COVID-19 Self Assessment was received from the licensee on 6/3/2021 and the assessment was reviewed with the licensee during the inspection. COVID-19 information posters including hand-washing posters were observed in child care areas and bathroom. The licensee was advised to follow the child care industry guidelines on face coverings, physical distancing, group size, sanitation and other infection prevention measures.

No deficiency was cited during this inspection.

Exit interview conducted with licensee Juan Juan Mu. LPA provided licensee with a copy of this report and Notice of Site Visit via email this date on 6/4/2021. Appeal rights were explained. Licensee agreed to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1