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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004015
Report Date: 08/07/2019
Date Signed: 08/07/2019 11:33:52 AM

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LI, LI PINGFACILITY NUMBER:
384004015
ADMINISTRATOR:LI, LI PINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 606-6014
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 11DATE:
08/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Li Ping Li, YinYin Zeng, BingYi Lin TIME COMPLETED:
12:00 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
2, Licensing Program Analyst, LPA Yee conducted an annual random inspection today. There are 11 children, licensee, Li Ping, daughter in law, YinYin Zeng and helper, BingYi Lin present today. The purpose of the inspection was explained. No change in the daycare areas. Day-care areas (lower level): one large room, bathroom, and backyard. The remaining areas of the home are off-limit. The home is equipped with a smoke detector, carbon monoxide detector, and a fire extinguisher. Required immunization for staff members is on file. All staffs have current CPR & 1st aid certificate on file. Fire clearance for large is on file. The facility provides morning snacks, lunches and afternoon snacks. The children toys and equipment appear to be in good condition, age-appropriate and safe. This facility provides Incidental Medical Services - IMS. LPA reviewed storage of medication and equipment/supplies and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 102417. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, Available at http://www.ada.gov/childqanda.htm. A written IMS plan is on file. LPA discussed the Mandated Reporter Training, AB1207 that was effective on 1/1/2018. All staff must take the training and keep the certificate on file. The training needs to be renewed once every 2 years. Child Abuse Mandated Reporter Training, AB1207. https://www.mandatedreporterca.com/. All staffs have AB1207 certificate on file. The children roster was reviewed. The capacity for large was discussed and provided a capacity worksheet for reference. SIDS "A Child Care Provider's Guide to Safe Sleep" was explained and provided. The facility is in compliance today.

website: Title 22, Div 12, Chp 3.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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