015700336-5-4-2022-52-CC-RHAR-CE4USH-20220504155023

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700336
Report Date: 05/04/2022
Date Signed: 05/04/2022 03:50:40 PM

Document Has Been Signed on 05/04/2022 03:50 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	GUAN, RUIYANG		FACILITY NUMBER:	015700336
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	05/04/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Ruiyang Guan		TIME COMPLETED:	04:00 PM

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On May 4, 2022 at approximately 1:05pm Licensing Program Analyst (LPA) Russ Haderer met with applicant Ruiyang Guan for the purpose of conducting an announced pre-licensing inspection. No other adults live in the home. Present for today’s inspection was the applicant and two consultant translators. The hours of operation will be Monday-Friday, 8:00 AM to 6:00PM.

The facility is a single story 3-bedroom, 2 bath home with an attached 2-car garage. It is rented by the applicant and contains a living room; kitchen; dining room, three bedrooms (1 primary), attached 2-car garage an enclosed (fenced) side and backyard area. The home is neat and clean with heating and ventilation for safety and comfort. Per the applicant, the ISOLATION AREA will be in the one of the napping rooms, away from the other children in care.

On-limit-areas include: Living room (day care area); kitchen; dining room; two bedrooms for napping children; and main house bathroom at the end of the hall; main back yard patio area. Applicant was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area.

Off-limit-areas include: The primary bedroom and attached bathroom; attached 2-car garage, front yard and southern side (gated) area of the back yard. The off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by child supervision.

There is a fireplace in the living room (day care area) with a fitted wood cover and blocked by a bookcase to prevent child access. Per applicant, there are no firearms in the home. A copy of the rental agreement was reviewed and a property owner notification form (LIC9151) has been issued. Ratios were discussed and a copy left for applicant as a reminder.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GUAN, RUIYANG	FACILITY NUMBER: 015700336
	VISIT DATE: 05/04/2022

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Applicant has ample age-appropriate toys and learning materials. The home has a fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detectors (tested and functioning), and a working telephone.

The applicant’s Health and Safety training is completed, and CPR and First Aid certificate is current and expires 11/07/2022. Mandated Reporter has been completed and expires 11/07/2022. The applicant is in compliance with all immunization laws which pertains to day care providers.

LPA reminded applicant of the following; Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. LPA discussed Unusual Incidents Reports.

LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection.

Applicant was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GUAN, RUIYANG	FACILITY NUMBER: 015700336
	VISIT DATE: 05/04/2022

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LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

This home is recommended for Licensure as of today, May 4, 2022.

Exit interview conducted and report was reviewed with the applicant Ruiyang Guan.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

LIC809 (FAS) - (06/04)

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