198020822-10-15-2021-33-CC-RLOZ-C7TVQ3-20211015163741

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020822
Report Date: 10/15/2021
Date Signed: 10/15/2021 04:37:50 PM

Document Has Been Signed on 10/15/2021 04:37 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:	YANG FAMILY CHILD CARE		FACILITY NUMBER:	198020822
ADMINISTRATOR:	YANG, SHINEMAY SHENGMEI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 400-3238
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91732
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	10/15/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	ShinemayYang		TIME COMPLETED:	05:00 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	An announced Pre- Licensing Inspection was conducted by Licensing Program Analysts (LPA’s) Roxana Lopez and Lilli Babcock on this date. A risk assessment was conducted upon entry- appropriate PPE was used. LPA’s met with applicant Shinemay Yang who guided analysts on a tour of the facility. The purpose of today's visit is to inspect and evaluate facility for initial licensure, Applicant is applying for a Large Family Child Care Home. Present during this inspection was Applicant, and her husband. Per applicant, family members residing in the home are 2 adults. Per applicant, operation hours will be Monday to Friday, 8:00 AM to 6:00 PM. Applicant states that she will care for children 1-5 years of age. During this inspection the following was observed: All areas identified on the facility sketch were inspected, including but not limited to, all off limit areas. This is a one-story home that consists of 2 bedrooms, 2 bathrooms, kitchen, dining room, daycare room, living room, front yard and backyard. The home is located on a lot with four houses, all homes have different addresses. Per applicant, the children will use the 1 bedroom, 2 restrooms, dinning room, living room, day care room and front yard fenced. Based on the Facility Sketch submitted, areas off limits to children and parents are: 1 bedroom, kitchen and backyard fenced. All areas inaccessible for children were observed to have a lock, security knob or safety gate making them inaccessible for children in care. The applicant understands that licensing staff may have access to off-limit areas during inspection visit if necessary. ----------------------------------------------------- Pg. 1 of 4 --------------------------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

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: YANG FAMILY CHILD CARE	FACILITY NUMBER: 198020822
	VISIT DATE: 10/15/2021

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Areas that will be used by children were inspected for safety, comfort, cleanliness, telephone service cell phone, ventilation and heating. The applicant states that there are poisons on the premises and are locked in a shed in the off limits backyard which is fenced. LPA’s observed a wall heater in the living room and in the kitchen- a small fence was covering the bottom of the heater. LPA’s advised that the fencing has to be higher to make the heater completely inaccessible.

LPA Lopez observed a fire extinguisher in the kitchen. The valve on the 2A10BC fire extinguisher indicates fully charged- per applicant it was purchased on 7/2021. Per Applicant she will look for the receipt and submit it for proof. Smoke and carbon monoxide detectors were tested during the inspection and found to be operable.

There are toys available for children. LPA observed sleeping arrangements in forms of cots, and 1 crib.

Infant Care: Applicant states that they will care for infants. LPA discussed the safe sleep regulations with Applicant Shinemay Yang 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 Shinemay Yang 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.

The applicant states that they will provide food for children in care and is planning to apply for the food program.

The applicant has completed the required Health and Safety Training, Nutrition Training and Pediatric First Aid and CPR. There are first aid supplies available.

Per applicant, she has no firearms, weapons or bodies of water on the premises. LPA did not observed any bodies of water.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: YANG FAMILY CHILD CARE	FACILITY NUMBER: 198020822
	VISIT DATE: 10/15/2021

NARRATIVE

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OUTDOOR PLAY AREA: The children will use the front yard for outdoor play, which was observed to be fenced. LPA’s did observe a tree with thorns in the front yard. Per Applicant, she placed planters around the tree to make it inaccessible. LPA’s advised that the tree has to be completely inaccessible for children in care and the gaps in between the planters are wide enough for a child to fit through. Per applicant, a fence will be put around the tree to keep it inaccessible for children. LPA’s observed a gap on a locked gate leading to the off limits backyard. LPA’s advised that the gap is big enough for small children to go through the gate. Per applicant, she will fix the door or add a piece of wood to make the gap and the backyard completely inaccessible.

Per applicant, there are no pets in the facility.

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

At 3:35 PM The following was discussed with the applicant:

• Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Civil Penalties will be assessed if not in compliance.
• In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current Pediatric First Aid and CPR training, Immunizations (TDAP, MMR, Influenza), mandated reporter training and a valid criminal record clearance associated to the facility license.
• Annual fees must be paid promptly and by the due date or a late fee shall be assessed and/or the License may be terminated.
• The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and carbon monoxide detectors should be checked and batteries replaced as needed.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: YANG FAMILY CHILD CARE	FACILITY NUMBER: 198020822
	VISIT DATE: 10/15/2021

NARRATIVE

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• Reporting Requirements: Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
• Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing.
• Fire and safety drills must be performed every six months and documented for review by the Department.
• Smoking is prohibited in a family child care home.
• Children and Staff records must be maintained and updated as needed and must be available for review by the Department.
• 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.
• Inspection Authority: All adults living and working in the home shall be made of aware of the Department’s right to inspection of the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.
• The facility license number must be on all advertisements, publications or announcements with the intent to attract clients.
• Isolation for Ill children: When a child is ill he/she shall be separated from other children (reference 102417(e) Operation of a Family Child Care Home).
• Liability Insurance was discussed; LPA advised applicant to review Title 22 Regulation 102417(m)(1) for additional information.
• Immunization Requirement: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The licensee and all adults working with children have proof of immunizations.
• Mandated Reporter Training: H&S 1596.8662: Beginning January 1, 2018, all licensed providers, applicants, directors and employees to complete training as specified on mandated reporter duties. Training is available at: www.mandatedreporterca.com

At 3:15 pm LPA’s reviewed and issued the LIC 311D - Forms/Records to Keep in Your Family Child Care Home. All required forms listed were explained and were provided in person to the applicant during the visit.

LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: YANG FAMILY CHILD CARE	FACILITY NUMBER: 198020822
	VISIT DATE: 10/15/2021

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OTHER INFORMATION AND FORMS PROVIDED:
· Handouts provided for Never Shake a Baby, Sudden Infant Death Syndrome (SIDS) and Safe Sleeping practices
· Capacity Handout for a Small Family Child Care Home and Large Family Child Care Home was provided.

LPAs consulted with applicant regarding COVID-19 health and safety guidelines on this date, applicant was provided forms to post via email. Licensing staff observed COVID- 19 postings posted in the day care on this date. During this inspection LPA discussed PIN 20-06 CCP, Social and Physical Distancing Guidance And Healthy Practices For Child Care Facilities In Response To The Global Coronavirus (COVID-19) Pandemic Written In Collaboration With The California Department Of Education. LPA reviewed with the applicant the Child Care Covid-19 Self-Assessment guide that the applicant filled out before this inspection.

Per applicant, there are no dual licenses at this address. Applicant’s email address was obtained during this inspection. The applicant was advised that email may be public information.
The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.

Applicant is seeking to provide care for 14 children 1-5 years old. Fire clearance was granted on 7/22/2021. Based upon today’s inspection, the following corrections need to be fixed prior to approval. Per applicant she will submit corrections by 10/25/2021

- Fence around the tree- to make tree and thorns inaccessible.
- Cover gap on gate to make gate leading to off-limits backyard inaccessible
- Wall heater cover needs to be higher to make it inaccessible

The application will be submitted for final review to the department once corrections are made. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Applicant, Shinemay Yang. .
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

LIC809 (FAS) - (06/04)

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