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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002997
Report Date: 11/06/2019
Date Signed: 11/06/2019 03:05:29 PM

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:CAO-READ, JINGFACILITY NUMBER:
414002997
ADMINISTRATOR:CAO-READ, JINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 336-5732
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:14CENSUS: 6DATE:
11/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jing Cao-ReadTIME COMPLETED:
03:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jyoti Saini and Licensing Program Manager (LPM) ALMA MALIG met with licensee Jing Co- Read. LPA explained the purpose of the inspection. LPA and Licensee toured the daycare area, located on the street level of the home and the outdoor play area. Present in the home is Licensee Jing Cao- Read and her helper Lifang Wu with 6 children. Capacity and ratio requirements of children was observed in compliance today. Off limit areas were identified as the entire upper level of the home. Adults living in the home are Licensee and her husband. A review of records indicates that all adults working or living in the home who require caregiver background check have received criminal record and child abuse index clearances. Licensee owns the home. Days and Hrs: of operation ; 7:30AM- 6:00PM.

LPA and LPM observed the following:
Stairs in the home are properly barricaded at top/bottom. Day-care area is clean, orderly, and equipped with age appropriate toys and equipment for the children. No baby walkers, bouncers, exercusers, etc. allowed to be used during day-care hours. Home has proper lighting and ventilation. Home has a working telephone, a working smoke and carbon monoxide detector, and a fully charged 2A10BC fire extinguisher. Licensee states there are no bodies of water on the property. There is no a fireplace in the day-care area. There are no detergents, or cleaning products accessible to day-care children. Poisons are locked. Licensee states there are no guns or weapons of any kind in the home. The yard is fenced. Licensee states there are no pets in the home.

Licensee’s CPR and First Aid expires March 2021. Licensees primary language is mandarin so she is exempted to take mandated reporter training. However, licensee's spouse will assist the ;icensee to take the Mandated Child Abuse Reporting on line. Emergency drills are conducted at least once every six months and properly logged. Discipline used is talking. All required postings are properly posted (License/Parent’s Rights poster/Emergency Disaster Plan and Earthquake Preparedness Check list )
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See on the next page for continuation.....
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: CAO-READ, JING
FACILITY NUMBER: 414002997
VISIT DATE: 11/06/2019
NARRATIVE
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During Inspection

*Licensee was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption. pursuant to Health and Safety code 1596.7995 and 1597.662.


*Licensee was reminded about Mandated Reporter Training available on CCLD website (www.ccld.ca.gov or www.mandatedreporterca.com)


A copy of "A Child Care Provider's Guide to Safe Sleep" was provided and explained to the Licensee during the visit today. Licensee is given a copy of the FCCH Annual Inspection Check List revision 05/2019 (LIC 9232).

Please see deficiency cited today under Title 22, Div.12 and Chapter 3.

This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit was observed being posted.

Licensee was advised any additional questions to call Office, M-F, 8:00AM- 5:00PM, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: CAO-READ, JING
FACILITY NUMBER: 414002997
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2019
Section Cited

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102417: Operation of Family Child Care;
Proof of Immunization Record.
This evidence is not met by:
Licensee's helper do not have proof of Immunization Record.
This is a potential Risk of Children in Care
Type B
11/15/2019
Section Cited

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102417 Children's Records

This evidence is not met by:
Based upon LPA's review of children's record, one of the 6 children present, do not have any record available.
This is a potential risk to chidlren in care.
Type B
11/15/2019
Section Cited

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102417 Operation of Family Child Care:
Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This evidence is not met by:
LPA's review, Facility Roster is not complete.
this is a potential 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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: (650) 266-8800
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)
Page: 3 of 3