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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700406
Report Date: 11/30/2022
Date Signed: 11/30/2022 10:15:43 AM

Document Has Been Signed on 11/30/2022 10:15 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:YU, MENG CHIEHFACILITY NUMBER:
015700406
ADMINISTRATOR:YU, MENG CHIEHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 599-9092
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Meng Chieh YuTIME COMPLETED:
11:15 AM
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On Nov 30, 2022, Licensing Program Analyst Sidney Cortez conducted a case management --pre licensing visit and met with applicant Meng Chieh Yu. The applicant needed hands on instructions on how to properly set up her daycare. Due to the language barrier, it was difficult to communicate via the telephone, therefore a case management visit before the pre licensing inspection was requested by the applicant.

LPA Cortez suggested to modify the following:

· Move heavy furniture to garage such as the: treadmill, workout equipment, coffee table, Move the vacuum equipment in a cabinet or in the garage.

LPA Cortez also consulted the applicant regarding Implementation of the Covid 19 safety protocols such as

· Checking the child's temperature before coming in, washing hands, labeling child's personal belongings such as there sip cups, having the children use their own water bottle and tableware

It was also advised to the applicant that she needs to have her fireplace to have a screen/covering. And that she needs a fire extinguisher that has a classification number of either 2A10BC or 3A40BC.

Applicant indicated that since she is pregnant, her husband will help her with the moving of furniture and setting it up; and that they might not be fully ready until late of December.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2022
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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