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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434403747
Report Date: 02/19/2020
Date Signed: 02/19/2020 02:23:19 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ONG, OONFACILITY NUMBER:
434403747
ADMINISTRATOR:ONG, OONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 966-8154
CITY:MOUNTAIN VIEWSTATE: CAZIP CODE:
94043
CAPACITY:14CENSUS: DATE:
02/19/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:LicenseeTIME COMPLETED:
02:30 PM
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I, Licensing Program Analyst (LPA), James Sampair, made an Annual Random inspection of the facility that began at 12:30 pm. The Licensee, Oon Ong, was present at the time of the inspection. She is the only one living at her home.

The Licensee is utilizing the child care roster and she conducts emergency drills with children under care monthly. The Licensee maintains the capacity on the license. Under care at the time of the inspection were a total of 4 children, 4 infants and 0 preschoolers. The Licensee ensured that children are supervised at all times. Each child has safe, comfortable, and healthy accommodations, furnishings, and equipment.

Licensee owns the facility. The on-limits areas are the kitchen, family room, play room, 1 bedroom, 1 bathroom, and the back yard. The home was kept clean and orderly, with heating and ventilation for safety and comfort, as well as safe toys, play equipment, and materials.

The facility had working smoke detectors, carbon monoxide detectors, and fully charged size 2A10BC fire extinguisher. There were no bodies of water. The Licensee stated that there were no guns or weapons in the home. Licensee has 0 pets.

At 1:15 pm, the licensee's and 4 children's files were reviewed and found to be complete. The Licensee had current pediatric CPR and first aid. Her Mandated Reporter Training had not been completed previously.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ONG, OON
FACILITY NUMBER: 434403747
VISIT DATE: 02/19/2020
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The licensee meets the criminal background clearance requirement. Licensee was reminded that anyone working, residing or frequently visiting the home must be fingerprint-cleared prior to being in the presence of children or an immediate civil penalty can be assessed.

Also discussed was the importance of referring to and making use of the email list childcareadvocatesprogram@dss.ca.gov to ensure that she is receiving all of the newest licensing updates in a timely fashion. We also went over the list of documents that were to be provided to parents and legal guardians, including the brochure on Lead Poisoning and Safe Sleeping, especially for new parents.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (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. Further, when a child enrolls with special medical needs, then an Individual Medical Services (IMS) must be written describing how those medical services will be provided and that a copy of that plan must be submitted to the Department.

There were no deficiencies cited in today's visit. An exit interview was conducted with the Licensee. Appeal rights were given to the Licensee.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
LIC809 (FAS) - (06/04)
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