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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700004
Report Date: 06/06/2024
Date Signed: 06/06/2024 01:48:15 PM

Document Has Been Signed on 06/06/2024 01:48 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:YANG, YANGFACILITY NUMBER:
015700004
ADMINISTRATOR/
DIRECTOR:		YANG, YANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 539-6240
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
06/06/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Yang Yang- LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 6/6/24, Licensing Program Analyst Briana Plumboy, met with licensee Yang Yang for an UNANNOUNCED ANNUAL INSPECTION. Present for the inspection was assistant Yao Yao Jiang (Annabelle) 8 preschool age children in care. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 8:00am until 5:00pm.
The home is a dual level home. The stairs which lead downstairs has a gate located at the top and bottom during today's inspection. The kitchen has a gate located between the dining room and kitchen area during today's inspection and there is a door which can be utilized to close off the entrance way of the kitchen from the hallway. The OFF LIMIT AREAS are the kitchen, 1 bedroom, master bedroom with master bathroom, and entire bottom level of the home which includes the garage, room, and storage room and will be inaccessible by gates, closed and/or locked doors and visual supervision. The ON LIMIT AREAS are the living room, dining room, upstairs bedroom located on the right side of the hallway, and upstairs hallway bathroom. The ISOLATION AREA will be the dining room. Outdoor play area will be located inside the backyard. The backyard has a deck, base level, and a upper level. The outdoor play area is fenced. During today's inspection, there are child safety gates located at the top and bottom of the outdoor steps which lead from the top deck to the lower level of the backyard. Per licensee, the children in care will utilize the deck and bottom level of the right side of the base of the backyard which is padded today with cushioned tiles and located off the right of the stairs. There is a sandbox located in the backyard and licensee is aware she must clean it regularly and ensure there are no toxins or debris inside. There are toys and learning materials. There are no pools, hot tubs or any other bodies of water on the premises during today's inspection. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The licensee’s Health and Safety training is completed and CPR and First Aid certificate is current and See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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: YANG, YANG
FACILITY NUMBER: 015700004
VISIT DATE: 06/06/2024
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expires 4/13/26, and her assistant's CPR/First Aid certificate expires 11/9/25. The licensee's mandated reporter training certificate is valid and expires 4/4/26 and assistant Yao Yao Jiang's expires 3/19/26. The licensee, assistant, and her husband Jingbao Liu are in compliance with the immunization law which pertains to day care providers. The fireplace is covered by a wooden barricade which is padded with cushioning and rubber bumper pads on the corners to prevent access by children. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 5/5/24. All REQUIRED forms are posted and visible for public review.

Licensee Yang Yang is aware she should have knowledge of all Title 22 Regulations and follow all Title 22 Regulations at all times, as well as follow manufacture guidelines for all equipment in the facility.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.



To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Licensee Yang Yang 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.

See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
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: YANG, YANG
FACILITY NUMBER: 015700004
VISIT DATE: 06/06/2024
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Licensee Yang Yang 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.

LPA discussed the safe sleep regulations with licensee Yang Yang 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 Yang Yang 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.

During the exit interview, the Licensee Yang Yang confirmed that there are no Registered Sex Offenders living in the facility.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Yang Yang.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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