<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421208
Report Date: 03/13/2025
Date Signed: 03/13/2025 04:37:11 PM

Document Has Been Signed on 03/13/2025 04:37 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:LI, YUAN & CHAO, HSINFACILITY NUMBER:
013421208
ADMINISTRATOR/
DIRECTOR:		CHAO, HSINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 713-8759
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/13/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Yuan Li and Hsin ChaoTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On March 13th, 2025 at approximately 9:50am, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Annual Random Inspection and met with licensee Yuan Li. LPA disclosed the purpose of the inspection and was granted entry into the home by the licensee. Present during inspection was one (1) preschool age child and fingerprint cleared spouse. LPA toured the facility to conduct a health and safety inspection. Licensee is in ratio. Hours of operation are 8:30am - 6:00pm Monday through Friday.

The two story home consists of four bedrooms, two and one half bathrooms, kitchen, garage and backyard. The home was neat and orderly, with heating and ventilation for safety and comfort of children in care. The fireplace is located in the dining room area(day care room 2) is blocked by a bookcase and inaccessible to children in care. The isolation area is the living room on the couch which is a section away from other children in care. There are age appropriate toys that the LPA observed to be safe and in good condition, free of defects or visual damage. LPA observed and licensee confirmed that there are no hazardous materials, including cleaning products, chemicals or toxins present during the inspection.

On Limits: First level of the home consists of the living room (day-care area #1), dining room (day-care area #2), hallway bathroom (right of day-care room #2), and gated portion of the backyard.
Off limits: Entire second level of the home consists of all four bedrooms, half bathroom and master bathroom, kitchen, garage, and gated right side portion of the yard.

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. LPA observed and Licensee confirmed that there ere are no pools, hot tubs or any other bodies of water present in home. The home has a fully charged 3A40BC fire extinguisher, working smoke/carbon monoxide detector, fully stock First Aid Kit. and telephone. LPA observed and Licensee confirmed that are no weapons or firearms present in the home. See LIC809 -C for continuance.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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 3
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: LI, YUAN & CHAO, HSIN
FACILITY NUMBER: 013421208
VISIT DATE: 03/13/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
All individuals subject to criminal record review have a clearance or exemption and have been associated to this FCCH. LPA requested and reviewed the file of one (1) child in care. The child's files contained, Parents rights, medical consent forms and identification and emergency contacts. Licensee has required licensing forms needed when children are enrolling in care. The facility roster was review and copies were obtained. The licensee conducts fire and disaster drills twice a year and the last was conducted on 1/27/2025. CPR/First aid certificate was completed and expires on 3/2026 and Mandated Reporter training was completed on 6/1/2024. All required forms are posted and visible for public review upon entry to the home. The licensee is in compliance with the immunization laws which pertains to all childcare providers. Licensee was reminded that training certificates must be renewed every 2 years.

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: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LI, YUAN & CHAO, HSIN
FACILITY NUMBER: 013421208
VISIT DATE: 03/13/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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 Yuan Li, 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. Report was read and reviewed with licensee Yuan Li and Hsin Chao.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
Page: 3 of 3