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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700260
Report Date: 03/07/2025
Date Signed: 03/07/2025 10:52:42 AM

Document Has Been Signed on 03/07/2025 10:52 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:WANG, DINGFACILITY NUMBER:
015700260
ADMINISTRATOR/
DIRECTOR:		WANG, DINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(720) 201-5334
CITY:HAYWARDSTATE: CAZIP CODE:
94542
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
03/07/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:Ding WangTIME VISIT/
INSPECTION COMPLETED:
10:52 AM
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On 3/7/2025 at 9:55am Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Ding “Kelly” Wang for a plan of correction inspection. Present during the inspection was the Licensee, one (1) adult helper, three (3) infants, and seven (7) preschool age children. Licensee’s home was toured for a health and safety inspection. The facility operates 8:30am – 5:30pm, Monday – Friday.

On 2/19/2025 Licensee was cited four (4) type B deficiencies.
  • Cleaning products in areas that are accessible to children in care
  • Rockers in areas that are accessible to children in care
  • Four of six files reviewed were missing immunization record
  • Licensee's helper missing immunization record for MMr (measles, mumps & rubella)

During LPA's visit all deficiencies were cleared. LPA observed that all cleaning materials had been removed from the bathroom that is accessible to the children, the two infant rockers have been removed, Licensee's helper has immunization record for MMr, and Licensee was able to obtain all missing immunization records for the children.

No deficiencies were cited during LPA's inspection today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee Ding “Kelly” Wang.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
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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