198020441-9-1-2021-33-CC-JGUN-C6FTZK-20210901151028

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020441
Report Date: 09/01/2021
Date Signed: 09/01/2021 03:10:39 PM

Document Has Been Signed on 09/01/2021 03:10 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	LIAO FAMILY CHILD CARE		FACILITY NUMBER:	198020441
ADMINISTRATOR:	JIE LIAO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 378-0080
CITY:	DIAMOND BAR	STATE: CA	ZIP CODE:	91765
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 8	DATE:	09/01/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Jie Liao, Licensee		TIME COMPLETED:	03:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 09/01/2021 at 11:05 am, Licensing Program Analyst (LPA) Jose Guzman conducted an unannounced required inspection. LPA met with Licensee, Jie Liao during today’s inspection. A risk assessment was conducted prior to entering the facility. The Licensee's daughter and nephew were also present. Daughter and Zoe Chang from the Pomona Resource and Referral agency translated Mandarin for the Licensee and LPA. There were 8 children present. Licensee states that there are currently 8 children enrolled. The children's roster was reviewed and is current. Disaster drill log was also available during today’s inspection. This is a one-story home which consists of 4 bedrooms and 2 bathrooms. Areas used by the children include the living room, dining area, bathroom in hallway, enclosed patio (main day care room) and backyard. Per Licensee, areas off limits to children and parents include 4 bedrooms, 1 bathroom in the master bedroom, kitchen, front yard, garage and swimming pool/right side backyard area. Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. Family members residing in the home are 3 adults (criminal record clearances on file) and 2 children. There is a working telephone maintained in the home. There are no pets in the home. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. Per Licensee, there are no poisons in the home. The Licensee does understand that poison must be locked with a key or combination lock. Page 1 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LIAO FAMILY CHILD CARE	FACILITY NUMBER: 198020441
	VISIT DATE: 09/01/2021

NARRATIVE

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There is a body of water on the premises. LPA observed a pool in the backyard. There are two self-closing gate doors that open away from the pool and latch which were tested by the LPA. The gate measures 5’ and is metal. There are safe toys, play equipment and materials observed for children. Emergency Disaster Plan was posted at the time of inspection. Children’s records were reviewed to ensure that each child has an Identification and Emergency form. At 11:20am, upon LPA arrival, LPA observed the Licensee caring for 8 children including 4 infants without an assistant. At 1:22pm during records review, LPA verified the age of children in care and confirmed a total 4 infants present. The valve on the required 2A 10BC fire extinguishers indicates fully charged, purchase date on receipt of 10/17/2020. Licensee understands that fire extinguishers need to be serviced yearly or a new fire extinguisher can be purchased. A combination smoke and carbon monoxide detector located in the living room was tested and is in operable condition. The Licensee has a current Pediatric First Aid and CPR, which will expire 1/23/23.

Rooms that are off-limits need to be made inaccessible during operating hours. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility. Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep web page 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.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LIAO FAMILY CHILD CARE	FACILITY NUMBER: 198020441
	VISIT DATE: 09/01/2021

NARRATIVE

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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

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.

Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.
A notice of site visit was given and must remain posted for 30 days.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22 and/or the Health and Safety Code. Please see attached LIC 809d. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview conducted and report was reviewed with the Licensee, Jie Liao.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/01/2021 03:10 PM - It Cannot Be Edited

Created By: Jose Guzman On 09/01/2021 at 02:35 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LIAO FAMILY CHILD CARE	FACILITY NUMBER: 198020441
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/02/2021 Section Cited CCR 102416.5(e)	1 2 3 4 5 6 7	Staffing Ratio & Capacity- If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement is not met as evidenced by	1 2 3 4 5 6 7	Per Licensee, on 09/01/2021, she will inform parents of two infants that she is no longer care for them until she is able to hire a full time assistant. Declaration form will be completed and emailed to LPA by 09/02/2021.
	8 9 10 11 12 13 14	Based on observation and record review, the Licensee did not ensure staff ratio and capacity requirement. Licensee was caring for 8 children (including 4 infants) without an assistant present which poses an immediate health & safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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:

Ana Chico

LICENSING EVALUATOR NAME:

Jose Guzman

LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021

LIC809 (FAS) - (06/04)

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