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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416072
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:14:46 AM


Document Has Been Signed on 10/04/2023 11:14 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:LIANG, YAN YINGFACILITY NUMBER:
434416072
ADMINISTRATOR:YAN YING LIANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 338-8422
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:14CENSUS: 11DATE:
10/04/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Yan Ying LiangTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced Plan of Correction (POC) to the Facility today. LPA met with licensee Yan Ying Liang, and explained the nature of today's visit to her. The purpose of the inspection is to review POC for deficiency that was cited on 09/14/2023. Present during today's inspection were licensee, two helpers, 4 infants and 7 preschoolers.

The facility was issued a "Type A" deficiency on 09/14/2023 for criminal record clearance. The Plan of Correction was due on 09/18/2023. LPA observed the employee finger print was completed and cleared on 09/16/2023

LPA observed the Notice of Site Visit, LIC 809 & LIC 809-D reports which were issued 09/14/2023 were posted on wall next to the facility entrance door. LPA observed that the Acknowledge of Receipt of Licensing Reports were signed by the parents of children in care and kept in each child's records.

LPA concludes that the the facility has completed its required plan of corrections and the deficiency is thus cleared as of today's visit. LPA advised licensee.

No deficiency was cited for this visit. A notice of site visit was given and must remain posted for 30 days. The report was discussed and verbally translated into Chinese during the exit interview with licensee, Yan Ying Liang.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2023
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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