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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626750
Report Date: 02/28/2020
Date Signed: 02/28/2020 09:03:19 AM

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:ZHANG, LI FAMILY CHILD CAREFACILITY NUMBER:
376626750
ADMINISTRATOR:LI ZHANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 692-5861
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:14CENSUS: 3DATE:
02/28/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Li ZhangTIME COMPLETED:
09:15 AM
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On 02/28/20020, Licensing Program Analyst (LPA) Samantha Salunga, made an unannounced inspection for the purpose of an annual/random inspection. Upon arrival LPA met with Licensee, Li Zhang, and proceeded to tour the facility. Also present was Licensee's husband, Dai Lu. During this inspection there were a total of three children in care. Appropriate ratios and capacity were observed along with supervision. The primary child care areas include: family room, living room, child play area, and down stairs bathroom. Off limits areas include the kitchen, garage, laundry room, and entire upstairs area. Outside play area is fenced. No body of water was observed during time inspection. There is a working fire extinguisher, smoke detector and carbon monoxide detector. Fireplace is inaccessible to children. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. Adequate heating and ventilation is provided. There is a working telephone. Licensee states there are no firearms and weapons in the home. Stairs are barricaded. Fire drills are conducted and documented with the last one being on 12/15/2019. Licensee maintains a current roster of the children. Pediatric CPR/First Aid are current with an expiration date of 02/03/2021. LPA verified that all adults living or working in the home have been fingerprint cleared and associated. Licensee maintains and updates all required records for children in care. Licensee maintains immunization records per SB792 and Mandated Reporter per AB1207.

LPA reviewed the following with Licensee: Safe Sleep Regulation Concept Handout, Car Seat Law, reporting requirements, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, mandated reporting, SIDS, and Shaken Baby Syndrome. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Licensee is aware that interference with a child’s daily functions, physical and mental abuse is not allowed. Licensee is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
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: ZHANG, LI FAMILY CHILD CARE
FACILITY NUMBER: 376626750
VISIT DATE: 02/28/2020
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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

Facility representatives were advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information.


Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Licensee with the following website: www.meganslaw.ca.gov. LPA also provided Licensee with the Child Care Advocate Program flyer.

No deficiencies observed in the areas inspected during today's inspection. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit. LPA reviewed this report with Licensee prior to obtaining her signature.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
LIC809 (FAS) - (06/04)
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