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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015701073
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:05:42 PM

Document Has Been Signed on 01/24/2024 02:05 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:DANG, HUIPINGFACILITY NUMBER:
015701073
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/24/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Huiping DangTIME COMPLETED:
03:18 PM
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LPA Cortez conducted a case management visit: technical assistance for pre licensing. Applicant requested assistance and guidance on how to properly set up her on limit areas. Moreover, she needed translation assistance from her daughter since English is not her primary language

Fingerprints are all clear. Applicant is still in the process of attaining fire extinguisher, first aid kid, and child proofing the kitchen, and living room area.

Applicant also needed assistance on understanding the pre licensing packet. Once modifications are done, LPA Cortez will set up a pre licensing inspection.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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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