015700136-8-7-2024-52-CC-JJAN-D7WSX7-20240807141529

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700136
Report Date: 08/07/2024
Date Signed: 08/07/2024 02:20:33 PM

Document Has Been Signed on 08/07/2024 02:20 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	ZHENG, JUN FENG		FACILITY NUMBER:	015700136
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 6	DATE:	08/07/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:00 PM
MET WITH:	Jun Feng Zheng		TIME VISIT/ INSPECTION COMPLETED:	02:35 PM

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 8/7/2024 at 1:00PM Licensing Program Analyst (LPA) Jaleesa Jackson met with Licensee Jun Feng Zheng for an Annual/Random inspection. Present during the inspection was the Licensee, 4 preschool aged children, and 2 infants. Licensee lives in the home with her adult son, her mother, and her father. The facility operates 8:00AM – 6:00PM, Monday - Friday. ON LIMITS AREA: Living Room, Dining Area, Hallway Bathroom, Bedroom #1 (room at the end of the hallway), Sun Room, Right side of Backyard and Front Yard OFF LIMITS AREA: Kitchen, Master Bedroom and Bathroom, Bedroom #2, left side of the Backyard and Garage ISOLATION AREA: Living Room The facility is a single-story home owned by the Licensee. The inside of the home is observed to have age-appropriate materials for the children. During today's inspection all toxins, cleaning products, personal medications, and hazardous materials were observed to be in inaccessible areas. All off-limit areas were made inaccessible with locks, gates, and closed doors. Licensee has stated that there are no firearms and no pets in the home. The home has a fully charged 2A10BC fire extinguisher. There is a working combination smoke/carbon monoxide detector in the home. The home is equipped with central heat and plenty of windows and fans for proper ventilation. Licensee provides all food for the children. All food that is brought from the children’s home will be properly labeled and stored. Licensee stated she does not transport children. Continued on 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ZHENG, JUN FENG	FACILITY NUMBER: 015700136
	VISIT DATE: 08/07/2024

NARRATIVE

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The on-limit portion of the backyard and the front yard is fully fenced, clean and well maintained, with age-appropriate materials for the children in care. LPA did not observe any harmful bodies of water in or around the home.

LPA reviewed 6 children's file and found they were complete. Licensee’s Health and Safety training has been completed and Pediatric CPR and First Aid training is complete and expires 4/2026. Licensee’s Mandated Reporter training is complete and expires 4/11/2026. All required forms are posted and visible for public view next to the front door. Licensee’s fire drill log is complete with the last drill logged 6/10/2024. All adults living and working in the home have obtained a criminal record clearance.

No deficiencies were cited during the inspection.

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 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.

Continued 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
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

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ZHENG, JUN FENG	FACILITY NUMBER: 015700136
	VISIT DATE: 08/07/2024

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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/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Jun Feng Zheng, 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 licensee Jun Feng Zheng.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
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

LIC809 (FAS) - (06/04)

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