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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700406
Report Date: 01/10/2024
Date Signed: 01/10/2024 01:54:04 PM

Document Has Been Signed on 01/10/2024 01:54 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:YU, MENG CHIEHFACILITY NUMBER:
015700406
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
01/10/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:37 PM
MET WITH:Meng Chieh YuTIME COMPLETED:
03:01 PM
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Licensing Program Analyst Sidney Cortez, met with licensee Meng Chieh Yu for an Unannounced Annual Random Inspection. Present for this visit was the licensee, and 3 preschool age children.The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:30AM until 6:00 PM, MONDAY-FRIDAY. This is a one story home and consists of 3 bedrooms, 2 bathrooms, living room, kitchen, garage and backyard.
OFF LIMIT AREAS: 3 bedroom, kitchen and garage.ON LIMIT AREAS: are the living room, dining room, and family room, 1 bathroom,and the backyard play area. The ISOLATION AREA is the entrance area of the living room for easier access by the parents to pick up their child.
There are no pools, hot tubs or any other bodies of water on the premises. All hazardous materials and toxins are kept out of the reach of children.

The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee’s Health and Safety training is completed and CPR and First Aid certificates are current and will expire on November 2024.. Per licensee, there are no firearms in the home. The licensee's mandated reporter training is current and expires (May 2024). The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on December, 2023. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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