376627213-11-1-2021-51-CC-SSIO-C8CS66-20211101133524

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627213
Report Date: 11/01/2021
Date Signed: 11/01/2021 01:35:38 PM

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:	LIU, TERRENCE FAMILY CHILD CARE		FACILITY NUMBER:	376627213
ADMINISTRATOR:	TERRENCE LIU		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(858) 281-1406
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92128
CAPACITY:	14	CENSUS: 9	DATE:	11/01/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Terrence Liu		TIME COMPLETED:	01:45 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	On 11/01/2021 at 10:00am, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced random inspection with the Licensee. Licensee was provided the Inspection Checklist (LIC 126) upon entry to the facility. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Upon arrival, Licensee, helper Shahla Motazedi and 7 day care children were at the facility and 2 additional children were dropped off. The home has a fully charged fire extinguisher, smoke and carbon monoxide detector that meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children at the day care areas. Licensee stated that there are no bodies of water or weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances. Licensee’s First Aid and CPR certifications are valid through 10/14/2023. Licensee have completed the online mandated child abuse training on 1/19/2021 and was reminded that it must be renew every two years. All of the children's in care records were reviewed. Facility has an updated roster and a copy of the roster was obtained today. Licensee last conducted a drill with the children in care on 04/05/2021. Licensee and his wife are owners of the home and LPA obtained control of the property during today's inspection. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living room, dining room, bedroom and bathroom located downstairs. Isolation area while waiting for their parents to pick up is the side yard area while him or the helper is at the kitchen area to keep an eye on the children to ensure children's safety. Off limits areas include laundry area, kitchen, upstairs and detached garage. Licensee placed the safety gate at the bottom of the stairs during today's inspection and licensee shall put a safety gate to block off the off limit kitchen to ensure children's safety. The facility has sufficient toys and equipment available. Licensee takes the children to the playground located next to the home within the complex. Visual supervision is required when children are playing at the playground as the playground doesn't have an enclosed fence.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

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: LIU, TERRENCE FAMILY CHILD CARE	FACILITY NUMBER: 376627213
	VISIT DATE: 11/01/2021

NARRATIVE

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Per Senate Bill 792 pertaining to immunizations, which require all adults in daycare operation to have proof of immunizations for; Measles, Pertussis and Influenza. Licensee and helper meets the requirements.

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

The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking are not allowed in day care. Licensee was provided with information about Heat Related Illness, Best Practice On Supervision and Effects of Lead Exposure and reporting responsibilities were discussed.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

See LIC809D for deficiencies and Technical violations issued today.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

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: LIU, TERRENCE FAMILY CHILD CARE	FACILITY NUMBER: 376627213
	VISIT DATE: 11/01/2021

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Terrence Liu.

Licensee shall submit an updated facility sketch for the upstairs off limits areas, update the LIC610 Emergency Disaster Plan or submit permission letters from the two relocation sites owners, submit an updated LIC279 and LIC279B to the department within 10 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

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: LIU, TERRENCE FAMILY CHILD CARE	FACILITY NUMBER: 376627213
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/01/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(3)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above which a safety gate is required to be placed at the bottom of the stairs which poses potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/02/2021
	Plan of Correction
1 2 3 4	Licensee located the safety gate from the bedroom closet during the inspection and placed the gate at the bottom of the stairs. Licensee shall submit a written plan of correction on what he will do to ensure that the facility does not violate this regulation in the future.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as today helper Shahla Motazedi online mandated child abuse training certificate had expired which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/29/2021
	Plan of Correction
1 2 3 4	Licensee stated that he will have his helper take the online mandated child abuse training course and will submit a copy of the certificate to Analyst by 11/29/2021. Licensee shall submit a written plan of correction on what he will do to ensure that the facility does not violate this regulation in the future.

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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

LIC809 (FAS) - (06/04)

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