376626085-10-29-2019-51-CC-RGOU-BHERQP-20191029131352

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626085
Report Date: 10/29/2019
Date Signed: 10/29/2019 01:14:08 PM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	JIANG, MEIGE FAMILY CHILD CARE		FACILITY NUMBER:	376626085
ADMINISTRATOR:	MEIGE JIANG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 888-3706
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	14	CENSUS: 14	DATE:	10/29/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Meige Jiang		TIME COMPLETED:	01:30 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) Rajani Goudreau conducted an annual/random inspection. Upon arrival, LPA met with Licensee, Meige Jiang and proceeded to tour the facility. There were 14 children in care (including five infants and nine children under the age of four years old), along with licensee mother and spouse. Child care operation hours are Monday through Friday from 8:00am to 6:00pm. LPA conducted a tour of the home/outdoor play area to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3. Licensee has provided adequate space for the children to eat, sleep and play within the home. The home is kept is kept clean and orderly, with heating and ventilation for safety and comfort. Areas used for child care include: living room, dining room, room located near front door, bathroom located on first story of home and back yard. Off limits areas of the home include: laundry room, garage, and second story of home. Off limit areas of the home are made securely inaccessible. LPA observed five infants in care including licensee daughter with remaining children in care under the age of four years old. No children in care are enrolled in and or attending kindergarten or attending elementary school or at least six years of age, based on review of facility roster and observation. Shortly after tour of home licensee spouse arrived at the home and licensee mother left the facility with licensees’ daughter, leaving four infants in care. In addition, licensees’ mother who is visiting from another country was observed caring for the day care children. Licensee indicated her mother is currently visiting and will sometimes help her care for the day care children when needed. Licensee indicated her mother is currently staying at her spouses’ home and will only be visiting for an estimate of two months. Licensee indicated since her mother arrived last Thursday, 10/24/19 and today is the first day her mother assisted in the day care due to assistant calling out sick. Licensee mother is not associated to facility or has a criminal record clearance, per review of LIS. See LIC809-C continuation page...

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JIANG, MEIGE FAMILY CHILD CARE	FACILITY NUMBER: 376626085
	VISIT DATE: 10/29/2019

NARRATIVE

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Licensee indicated she will not have her mother help her care for the children until she obtains a criminal record clearance and is associated to facility.

All cleaning compounds, detergents, medications and other items which could pose a danger to children are stored where they are inaccessible to children and poisons are to be locked away. The fire extinguisher, smoke and carbon monoxide detector meet requirements and are operational. Children’s toys and play equipment are safe and age appropriate. Stairs are securely fenced. Primary telephone is a cell which is operational. There are no firearms or other weapons in the home, per licensee. Licensee has all appropriate forms posted, per observation. Gas fire place is screened and locked. There are no bodies of water observed in or outside of the home, per LPA observation. Outdoor play area is fenced and free of hazardous items. LPA advised Licensee to provide direct supervision when children are playing outside. Children’s records and roster reviewed and complete. Pediatric CPR and First-Aid certificate are valid through 02/10/20. Last fire/earthquake drill was conducted on 04/11/19. Licensee indicated next disaster drill will be conducted in the first week of November 2019. Licensee has met immunization requirement, per SB792. In addition, Licensee is exempt from the AB1207 Mandated Reported Training as licensee primary language is not English.

LPA discussed the following with licensee: California Megan's Law, www.meganslaw.ca.gov. LPA informed licensee in order to access Child Care Licensing Regulations and Forms to visit the following website: http://ccld.ca.gov. LPA discussed the following with licensee: Child Care Advocates - (916) 654-1541, childcareadvocatesprogram@dss.ca.gov.

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 discussed the following with Licensee: emergency drills conducted every 6 months, heat-related illness, child passenger law, unusual incidents and time frames, information on SIDS, shaken baby syndrome, lead poisoning effects brochure. LPA informed licensee corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during day care operation.

Community Care Licensing Duty Line: (619) 767-2248, open Monday through Friday from 8:00AM to 5:00PM. LPA, Rajani Goudreau may be reached at (619) 767-2215 and at Rajani.Goudreau@dss.ca.gov. See LIC809-C continuation page...

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JIANG, MEIGE FAMILY CHILD CARE	FACILITY NUMBER: 376626085
	VISIT DATE: 10/29/2019

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LPA, Rajani Goudreau updated the following forms at time of visit:
· LIC 279: Application (to reflect the current adults residing in the home)
· LIC 999: Facility Sketch (to confirm and update the areas that are accessible to the day care children)

Facility was cited two type A deficiencies during today’s visit and a civil penalty of $100 was assessed (see same day 809D citations page). An exit interview was conducted. A copy of this report along with LIC809-D, Acknowledgment of Receipt of Licensing Reports (LIC9224), Notice of Site Visit and appeal rights (LIC 9058) were left at facility. Per AB633, upon receipt, licensee shall post licensing reports citing type A deficiencies for 30 days from today’s date (observed by LPA) & provide copies to parents/guardians of children in care at the facility & to parents/guardians of newly enrolled at the facility during the next 12 months. In addition, LIC9224, must be signed by parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility and placed in each child’s record for the next 12 months. Licensee shall post the notice of site visit for 30 days (observed by LPA). Licensee’s signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JIANG, MEIGE FAMILY CHILD CARE	FACILITY NUMBER: 376626085
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/29/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/30/2019 Section Cited	1 2 3 4 5 6 7	This is an amended version of the original report created on 10/29/19. A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met:(b) No more than three infants are cared for during any time when more than 12 children are being cared for.
	8 9 10 11 12 13 14	This requirement was not met as evidence by: LPA observed five infants in care under the age of 24 months, which poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Plan of corrections are to be submitted to the Department by: 10/30/19.
Type A 10/30/2019 Section Cited	1 2 3 4 5 6 7	(d)-All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working,residing,or volunteering in a licensed facility:(1)-Obtain a California clearance...as required by the Department...
	8 9 10 11 12 13 14	This requirement was not met as evidence by: based on LPA observation, licensees’ mother was observed caring for the day care children, which poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Licensee indicated she will not have her mother care for the children until she obtains a criminal record clearance and is associated to facility. Licensees mother left the facility during tour of home. Deficiency cleared during visit.

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

LIC809 (FAS) - (06/04)

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