015701165-9-20-2024-52-CC-JSAI-D97Q7X-20240917115552

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015701165
Report Date: 09/17/2024
Date Signed: 09/20/2024 03:34:28 PM

Document Has Been Signed on 09/20/2024 03:34 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:	FANG, WEIWEI		FACILITY NUMBER:	015701165
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	09/17/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:10 AM
MET WITH:	Applicant, Weiwei Fang		TIME VISIT/ INSPECTION COMPLETED:	12:15 PM

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Licensing Program Analyst (LPA) Jyoti Saini conducted a scheduled pre-licensing inspection and met applicant Weiwei Fang and niece Ning Fei fang, who was present there to assist with translating. LPA advised the applicant that the niece would need to obtain the fingerprint clearance if she is to assist her aunt on a regular basis. Applicant lives in the house with her husband. LPA and Applicant inspected the entire house for Health and Safety Hazards. The Applicant owns this property. The single-story home has a Living room, dining area, kitchen, Three bedrooms, two bathrooms, backyard and a garage. The Applicant plans to operate from 8:00am to 6:00 pm Monday through Friday.

On-limit areas: Living room, Dining are, Bedroom #1 on the right side of the hallway and bathroom #1. The backyard is divided into two sections by a fence. One section, which includes the shed room, will be kept off-limits to the children. Off-limit areas include master bedroom, adjacent bathroom, bedroom #2 and garage. Applicant has barricaded the bedroom #2 and master bedroom with the child proof gate.

The home is neat and clean, with heating and ventilation for safety and comfort. The ISOLATION AREA will be the living room. All off-limit areas are properly barricaded. The home has a working smoke and carbon monoxide detector, a working telephone, a fully charged Fire Extinguisher, and a fully stocked First Aid Kit. The Applicant has a Preventive Health and Safety Training certificate, including a lead poisoning prevention update. Applicant's First Aid/CPR certificate expires on 01/2025. Mandated Reporter training certificates are current and expire on 03/16/2025. The Applicant is reminded that NO walkers, exersaucers, jumpers, bouncers, or similar items are to be used for children in care and shall be made inaccessible. The Applicant is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing. The applicant was also advised to conduct fire/disaster drills once every six months and to log the date and time of the drill. LPA discussed safe sleep guidelines and 15-minute check requirements. The Applicant will be providing snacks and meals. Per applicant there are no firearms in the premises. During today's inspection, LPA did not observe any body of water. Per Applicant, she may or may not purchase liability insurance, she was advised to use form, the Affidavit regarding liability insurance for FCCH. Applicant was advised to post the License when she receives it.

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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024

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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: FANG, WEIWEI	FACILITY NUMBER: 015701165
	VISIT DATE: 09/17/2024

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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

The applicant owns the home and provided proof of control of property.

APPLICANT KNOWS PROSPECTIVE CLIENTS WILL NEED IMS:
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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

Review of records to be maintained - Family Childcare Homes
LPA reviewed with applicant the LIC 311D, Forms/Records to Keep in Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Safe Sleep -Family Child Care Homes

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, licensee, or facility representative] 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.
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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024

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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: FANG, WEIWEI	FACILITY NUMBER: 015701165
	VISIT DATE: 09/17/2024

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Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication

Small Family Child Care License is recommended effective today, 09/17/2024.

Exit interview conducted and report was reviewed with the applicant, Fang Weiwei. .

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024

LIC809 (FAS) - (06/04)

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