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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416748
Report Date: 02/09/2024
Date Signed: 02/09/2024 03:49:20 PM

Document Has Been Signed on 02/09/2024 03:49 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CHEN, HUI YING & JING KUANFACILITY NUMBER:
013416748
ADMINISTRATOR:CHEN, HUI YING & JING KUANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 793-6835
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
02/09/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Jing Kuan & Hui Ying ChenTIME COMPLETED:
03:55 PM
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On February 9th, 2024 at approximately 2:05pm, Licensing Program Analyst (LPA) April Wright met with licensees Jing Kuan & Hui Ying Chen for an Unannounced Required 3 Year Inspection. LPA disclosed the purpose of the inspection and was granted entry into the home by the licensee. Present were a total of eight (8) children (5 preschool age/3 infants) in the home. LPA toured the home to conduct a health and safety inspection. The licensees are in ratio today. Hours of operation are 8:30am - 6:00pm Monday through Friday.

On limit areas include: Living/Family rooms (day-care areas #1& #2), bathroom (to right in daycare area #2) and backyard.
Off-limits areas include: Entire second level of home which includes all bedrooms (4), remaining bathrooms (2), kitchen and garage.

The two story home was neat and orderly, with heating and ventilation for safety and comfort of children in care. Home consists of four (4)) bedrooms, three (3) bathrooms, Kitchen, Living room, Family room, Dining area, backyard and garage. The isolation area is the living room which is a section away from other children in care. The off limits areas are and will be made inaccessible by closed and/or locked doors and visual supervision. There is a child safety gate at the bottom of the stairs to prevent access to the upper level of the home. There are additional Child safety gates in place for the kitchen areas to prevent access to children. There are no pools, hot tubs or any other bodies of water present in the home. LPA did not observe any hazardous materials or toxins during today's inspection. There are age appropriate toys that appear to be safe and in good condition. The home has a fully charged 3A40BC fire extinguisher and small 5B-C kitchen extinguisher, working dual smoke/carbon monoxide detectors and telephone. There is a fireplace in that has glass doors, locked and is blocked making it inaccessible to children in care. Per licensee there are no firearms in the home. The licensee is in compliance with the immunization laws which pertains to all childcare providers. See LIC809 -C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CHEN, HUI YING & JING KUAN
FACILITY NUMBER: 013416748
VISIT DATE: 02/09/2024
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LPA requested and reviewed the files of eight (8) children in care. The children's files contained, Parents rights, medical consent forms and identification and emergency contacts. The facility roster was reviewed and copies were obtained. The licensees conduct fire and disaster drills twice a year and the last was conducted on 12/4/2023. The licensees has a current CPR/First aid certificates which expires on 8/26/2025 and completed Mandated Reporter training on 04/17/2022. All required forms are posted and visible for public review.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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-andresources/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 PIN 22-02-CCP . 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: https://www.ada.gov/resources/child-care-centers/.

See LIC809C for continuance.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CHEN, HUI YING & JING KUAN
FACILITY NUMBER: 013416748
VISIT DATE: 02/09/2024
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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 informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Chen, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensees Jing Kuan & Hui Ying Chen.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC809 (FAS) - (06/04)
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