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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020479
Report Date: 03/14/2024
Date Signed: 03/14/2024 10:50:21 AM

Document Has Been Signed on 03/14/2024 10:50 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WANG FAMILY CHILD CAREFACILITY NUMBER:
198020479
ADMINISTRATOR:DAN WANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 375-7033
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 2DATE:
03/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Dan WangTIME COMPLETED:
10:50 AM
NARRATIVE
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Plan of Correction inspection conducted by Licensing Program Analyst (LPA) Jennifer Hua and Licensing Staff (LS) Youle Qi. LPA & LS met with licensee Dan Wang. The purpose of the visit was announced. Upon entry LPA & LS observed 2 children in care supervised by assistant Zeyun Lyu goes by Ivy Li. Licensee's spouse ChunCheng Wei was also present. The purpose of the visit is to follow up on the deficiencies cited on 3/6/2024.

Per licensee: Gun and bullets have been removed from the premise. Currently no weapons on the premise, reduced by one infant in care. LPA and LS checked with licensing office and assistant Zeyun Lyu goes by Ivy Li has fingerprint clearance. LPA and LS observed the following: drills have been conducted as observed on the drill log, Roster is complete, Licensee purchased a new fire extinguisher, receipt and fire extinguisher observed, children files reviewed and are complete.

LPA also observed completed LIC 9224 in children files. Notice of Site Visit form and Type A report are posted by the front door.

Based on the above, deficiencies are corrected at this time.

An exit interview conducted with Licensee. (LS) Youle Qi translated during this visit. Notice of Site form was provided and shall be posted in a prominent area for review.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
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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