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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412166
Report Date: 03/03/2022
Date Signed: 03/03/2022 03:25:55 PM


Document Has Been Signed on 03/03/2022 03:25 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:WONDERLAND CHINESE SCHOOLFACILITY NUMBER:
434412166
ADMINISTRATOR:DAVID WONGFACILITY TYPE:
850
ADDRESS:10931 MAXINE AVENUETELEPHONE:
(408) 245-3288
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:55CENSUS: 40DATE:
03/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Ying KangTIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Oscar Huang met with Assistant Director, Ying Kang for an unannounced annual inspection. Assistant Director stated that Director David Wong was off today for a family matter. LPA explained the nature of today’s inspection to her. LPA also observed 7 staff and 40 preschool day care children in the facility during today's inspection. Days and hours of operation are Monday to Friday, 8:30am to 6:00pm.
Assistant Director, Ying Kang was reminded that all adults 18 and over living or working in the facility, 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 Center. 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.
Incidental Medical Services (IMS) policy was discussed. Assistant Director, Ying Kang stated that the facility has a IMS plan, but currently there is no children required IMS services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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
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.
No deficiency was cited. Exit interview conducted and report was reviewed with Assistant Director, Ying Kang. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:
DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/03/2022
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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