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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002995
Report Date: 12/22/2020
Date Signed: 12/22/2020 01:43:05 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/02/2020 and conducted by Evaluator Cindy Mok
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20201102151423
FACILITY NAME:LIANG, WEI YINGFACILITY NUMBER:
384002995
ADMINISTRATOR:LIANG, WEI YINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 613-6847
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY:14CENSUS: 1DATE:
12/22/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Wei Ying Liang (Tracy)TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Licensee operates over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst, Mok, finalized this complaint via the phone with the licensee, Wei Ying Liang (Tracy), because CDSS suspended the field inspections temporarily during the COVID19 pandemic. This report was delivered to the licensee via e-mail and mail. During the course of investigation, LPA conducted interviews with witness and gathered relevant documents. Based on the relevant documents, the licensee was over the capacity in September and October 2020.

Based on the relevant document review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 9099D.”

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 05-CC-20201102151423
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LIANG, WEI YING
FACILITY NUMBER: 384002995
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/22/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/14/2020
Section Cited
CCR
102416.5(a)
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102416.5(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement was not met as evidenced by based upon the relevant document review. The licensee was over capacity with 2 infants & 12 preschoolers from 9/1 to 9/4;
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Licensee shall maintain the number of children in care within ratio all the time. Licensee has maintained the number of children within ratio after Nov 2020 . The deficiency was cleared during visit.
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 1 infant & 13 preschoolers from 9/8 to 9/25; 2 infants & 13 preschoolers from 9/28 to 9/30 in Sept. 2020, and 2 infants & 12 preschoolers from 10/1 to 10/6; 2 infants & 11 preschoolers from 10/7 to 10/20 & 10/26; 3 infants &12 preschoolers from 10/22 to 10/23 & 10/27 to 10/29; 3 infants & 11 preschoolers on 10/21 & 10/30 in Oct 2020.

This poses an immediate safety risk to children in care.
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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: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2020
LIC9099 (FAS) - (06/04)
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