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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423978
Report Date: 08/07/2024
Date Signed: 08/07/2024 10:13:37 AM

Document Has Been Signed on 08/07/2024 10:13 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:HUANG, CUILINGFACILITY NUMBER:
013423978
ADMINISTRATOR/
DIRECTOR:		HUANG, CUILINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 417-6591
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:HUANG, CUILINGTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On August 7, 2024 at 8:30AM Licensing Program Analyst (LPA) Nyeesha Blount conducted an unannounced case management visit for change of location. LPA met with Applicant Huang, Cuiling who is background cleared her minor child were present during today's inspection. LPA toured the home with Applicant for a Health and Safety inspection. Applicant has applied for a Change of Location for a Large Family Child Care Home with capacity for 14 children. Days and hours of operation will be Monday through Friday from 7:30 AM - 6:00 PM. Applicant has current Pediatric cardiopulmonary resuscitation (CPR) and First Aid. Applicant has a fully stocked first aid kid. Applicant has current mandated reporter training which expires on 07/23/26 Applicant currently owns this property. Isolation of sick child will be the first bedroom to the right of the living room. Applicant understand that 100% supervision is required at all times. Applicant has an approved fire clearance dated 07/24/24. Fire clearance is approved for 14 children. Fire clearance indicates "if 2- story home, please indicate if second floor is Off Limits to children" and if garage, if garage is Off Limits to children". Applicant applied for change of location she was currently renting the prior property and has recently purchased this property. LPA observed that the classroom has sufficient lighting and an ample supply of age appropriate toys, activities and furniture. The facility has a functioning centralized fire system, carbon monoxide detector, (1) fully charged 2A10BC and (1) 1A10BC fire extinguisher.
ON LIMIT AREAS: (1) bedroom, (1) bathroom, living room, dining room (day care area), and fenced backyard.

OFF LIMIT AREAS: Kitchen, (2) bedrooms, (1) bathroom, and garage of the home secured with gates made inaccessible to children in care.

Licensed effective 08/07/24
There are no deficiencies cited today. An exit interview was conducted. Appeal rights were given and discussed. A site visit notice was given and posted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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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