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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434409781
Report Date: 03/13/2023
Date Signed: 03/13/2023 03:42:36 PM


Document Has Been Signed on 03/13/2023 03:42 PM - It Cannot Be Edited

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:LAI, YUYINGFACILITY NUMBER:
434409781
ADMINISTRATOR:LAI, YUYINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 263-8912
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:14CENSUS: 7DATE:
03/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:02 PM
MET WITH:Yuying LaiTIME COMPLETED:
04:00 PM
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On Monday, March 13, 2023 at 2 pm, Licensing Program Analyst (LPA) Manel Estoesta conducted an UNANNOUNCED REQUIRED 1 YEAR INSPECTION. LPA met with Licensee YU YING LAI and explained the nature of the site visit. Present for this visit were the Licensee's assistant LIYING ZHENG, 2 INFANTS AND 5 PRESCHOOL CHILDREN.

The facility currently operates from MONDAY TO FRIDAY 08:30AM TO 6:30PM.

The home was toured to conduct a Health and Safety Inspection with the licensee. The home is a one-STORY HOME. The home is neat and clean with heating and ventilation for safety and comfort.

The ON LIMIT AREAS are the LIVING ROOM, FAMILY ROOM, TWO (2) DAY CARE BEDROOM, hallway bathroom and the half-left side of the backyard. The BACKYARD play area is completely fenced.

The OFF-LIMIT AREAS are the 2-bedroom including master bedroom, master bathroom, kitchen, the garage, and half right side of the backyard including the right-side yard and left side yard. which will be inaccessible by closed and or locked doors and or a fence with visual supervision. The ISOLATION AREA will be the one of the day care bedroom when a child gets sick during day care.

LPA observed 2 locked storage sheds in the fenced off area and 1 locked storage shed in the left side of the backyard. There are ample age-appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs, or any other bodies of water present during today's inspection. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible today. Licensee owns the house and has childcare liability insurance with DC Insurance.

SEE 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2023
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LAI, YUYING
FACILITY NUMBER: 434409781
VISIT DATE: 03/13/2023
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The Licensee CPR and First Aid certificate and expires February 2024. The Licensee and Licensee's Assistant reminded about the AB 1207 Mandated Reporter Training can be taken online at https://mandatedreporterca.com. Licensee and Licensee's assistant have records of Measles and Pertussis immunization, Influenza vaccination and or written declination, and TB clearance. LPA reminded Licensee that only the Influenza vaccination can be decline with a written declination.

Facility roster (LIC 9040) of children was reviewed. Children’s files were reviewed, which included records of receipt for Parents' Rights Notice, Identification and Emergency Information, Consent for Emergency Medical Treatment form, LIC 9150 and Immunization. The licensee is in ratio today.

Licensee stated that she does NOT transport children at this time, and she has a current and valid Driver License. Licensee understands that children cannot be left in parked vehicles unattended at any time, the motor vehicles used to transport children in care shall be maintained in safe operating conditions, and all vehicle occupants must be secured in an appropriate restraint system.

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/inspection-process.

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 Estoesta discussed and provided copies of the, 1. Provider Information for Parents & Families about Lead Poisoning and reminded that licensee must provide the Risks and Effects of Lead Poisoning PUB 515 flyer to parents and families upon enrolling or reenrolling. 2. American Rescue Recovery Plan 3. Grants for new construction and major renovation of child care programs.


SEE 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LAI, YUYING
FACILITY NUMBER: 434409781
VISIT DATE: 03/13/2023
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LPA discussed the safe sleep regulations with licensee 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 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.

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



There are no deficiencies cited on this visit. See Advisory Notes - Technical Violation included in this report.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Yu Ying Lai.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023
LIC809 (FAS) - (06/04)
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