015700336-8-28-2024-52-CC-RMIA-D8KR94-20240828124856

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700336
Report Date: 08/28/2024
Date Signed: 08/28/2024 12:49:05 PM

Document Has Been Signed on 08/28/2024 12:49 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:	GUAN, RUIYANG		FACILITY NUMBER:	015700336
ADMINISTRATOR/ DIRECTOR:	GUAN, RUIYANG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 868-9987
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	08/28/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:20 AM
MET WITH:	Ruiyang Guan		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

NARRATIVE

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On August 28, 2024 8:20am Licensing Program Analyst (LPA) Randy Miranda arrived unannounced to meet with licensee Ruiyang Guan for the purpose of conducting an annual inspection for health and safety. Living in the home is the licensee and present for the inspection was the licensee with one assistant and 7 children in care (four infants, one 2yr.-old, and two 3yr.-old ). Licensee requires Language Translation. The hours of operation are Monday-Friday, 8:00am 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 licensee 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 licensee, the ISOLATION AREA will be in the one of the napping room, 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. Licensee 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 book case to prevent child access. Per licensee, there are no firearms in the home.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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: GUAN, RUIYANG	FACILITY NUMBER: 015700336
	VISIT DATE: 08/28/2024

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Licensee 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. Fire drills are conducted at least once every six months, the last drill was completed on 04/08/2024. Per the licensee there are no fire arms in the home.

The licensee’s Health and Safety training is completed, and CPR and First Aid certificate is current and expires 11/05/2024. Mandated Reporter has been completed and expires 11/05/2024. The licensee is in compliance with all immunization laws which pertains to day care providers. Licensee's assistant is missing TB Test/Records, resulting in a Deficiency. See LIC809D for Deficiency. Licensee's assistant is also missing LIC508. See LIC809D. The licensee maintains childcare insurance through , the policy is in force through 7/7/2025.

LPA reminded licensee of the following; CPR/1^st aid training and Mandated Reporter certificated is to be renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. LPA discussed Unusual Incidents Reports.

Children’s files were reviewed, a copy of the roster was taken by the LPA for the office file. All files were complete and in good order. Sleep logs are now being maintained for infants, check and verified. Licensee reminded to maintain these logs for all infants up to 24 months and to save them for three years.

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

Licensee 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.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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: GUAN, RUIYANG	FACILITY NUMBER: 015700336
	VISIT DATE: 08/28/2024

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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

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-and-resources/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.

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.

Type B Deficiencies were issued today. A copy of this report will remain on file for three years.

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

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

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/28/2024 12:49 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!

Created By: Randy Miranda On 08/28/2024 at 12:01 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: GUAN, RUIYANG	FACILITY NUMBER: 015700336
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(g)

PERSONNEL REQUIREMENTS LPA observed that Licensee's assistant is missing TB test result. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review], the licensee did not comply with the section cited above in 101216 (g) which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/18/2024
	Plan of Correction
1 2 3 4

Under Appeal

Type B

Section Cited

CCR

102217(a)(13)

PERSONNEL REQUIREMENTS LPA observed that Licensee's assistant is missing Crminial Record Statement (LIC 508) in her file. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based onrecord review, the licensee did not comply with the section cited above in 102217 (a)(13) which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/30/2024
	Plan of Correction
1 2 3 4	A completed Criminal Record Statement for staff to be sent to Licensing by 08/30/2024.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Wynn Norona

LICENSING EVALUATOR NAME:

Randy Miranda

LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC809 (FAS) - (06/04)

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