On 06/9/2026, Licensing Program Analyst (LPA) Vivian Trinh and Regional Manager Claudia Guangorena conducted an announced, in-person Pre-Licensing inspection for a Large Family Child Care home. Licensing staff met with applicant Kang, Byung AE, who provided a tour of the home.

A review of the Facility Personnel Report Summary indicates 2 adults live in the home. The adult residents received caregiver background check clearances or exemptions as required by the Department. Per the applicant, there are zero (0) minors living in the home.

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 stated that they are not registered with any Resource Foster Care agency and that they do not hold a Resource foster parent license. The applicant was reminded to notify the licensing office of any changes.

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• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

All areas on Facility Sketch LIC999 were inspected, including but not limited to off-limits areas. The facility is a 1-story home with 3 bedrooms, 2 bathrooms, two (2) living room areas with (2) wall-heaters, and one (1) wall heater in the hallway, a kitchen, a laundry room, a front yard (not fenced), a backyard (fenced), three (3) storage units, and a converted garage that is used as a storage unit. This facility does not have fireplace. There are no stairs.

Based on the Facility Sketch LIC999 submitted, the areas off-limits to children and parents are as follows:

The Applicant has designated the laundry room, garage, three (3) storage units, and the three (3) bedrooms on the right-hand side of the entrance as off-limits areas. The applicant has placed child-proof safety gates around the kitchen. The applicant has doorknob covers on all off-limit area doors.

Areas Designated for Day Care Activities: The applicant has designated the living rooms in the front and in the back of the house, which are designated as daycare areas. Areas used by children were inspected for safety, comfort, cleanliness, telephone service (cell phones), ventilation, and heating. The designated childcare areas were observed to have age-appropriate toys. The children’s bathroom is located adjacent to the living room on the right hand side of the hallway. The applicant has a small step tool in the children’s bathroom

Detergents, cleaning compounds, medicines, sharp objects, and hazardous items that can pose a danger to children are inaccessible in areas designated for children. All drawers and cabinets within children’s reach that have hazardous items have safety latches and applicant placed a baby safety gate at the entrance to the kitchen. The applicant stated that there are no poisons on the premises and Licensing staff did not observe any. The applicant was advised that poisons must be locked with a key or combination lock. The applicant stated that there are no weapons or firearms on the premises. The Licensing staff informed the applicant that when firearms are present, they must be locked and stored separately from the ammunition per CCR 102417(g)(4)(C).

Licensing staff verified that applicant has a fire extinguisher type 3A-10BC and reminded applicant that the fire extinguisher must be serviced annually or as often as necessary. The pressure gauge on the 3A-10BC fire extinguisher(s) indicates fully charged, as indicated on the service tag observed. Smoke and carbon monoxide detectors were tested and are operable.

Continued page 3.

OUTDOOR PLAY AREA:

The applicant designated the backyard as an outdoor daycare area. Outdoor play activities will be conducted in the backyard. The backyard is appropriately fenced. Licensing staff observed that there was age-appropriate play equipment, and the play area was free from hazards.

Applicant stated that there are no bodies of water on the premises.

The applicant stated she will will provide food for the children. The applicant was informed that if children bring food from home, their names must be labeled on their lunch bags, and the food must be refrigerated/stored properly.

The licensee understands that there shall be one crib or play yard for each infant who is unable to climb out of it.

The applicant stated that parents will provide linens and blankets for napping. The applicant stated that parents will provide diapers, lotion, wipes, and formula for the infants. Licensing staff advised the applicant to supervise infants at all times when changing their diapers.

A records review indicates that the applicant completed the required Health and Safety Training, including the Nutrition and Lead Poisoning components. The applicant has current (EMSA-approved) Pediatric First Aid and Pediatric CPR certifications that expire on 4/8/2028. A first-aid kit is available at the facility in kitchen.

Applicant Kang, Byung AE, provided proof of control of property.

Licensing staff informed the applicant that in the absence of the licensee, a qualified adult must be present to supervise children. A qualified adult is an individual who has a valid and current Pediatric First Aid and CPR certification, TB clearance and immunization, and a valid criminal record clearance associated with the licensed facility. Annual fees must be paid by the due date, or a late fee shall be assessed and/or the License may be terminated.

Inspection Authority: All adults living and working in the home shall be made of aware of the Department’s right to inspection authority, which includes but is not limited to the right to enter the house when children are being cared for, interview children and adults, and review documentation. Continued page 4.

H&S 1597.622: Commencing September 1, 2016, a person may be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The applicant has submitted proof of immunizations.

Health and Safety Code 1596.7995: Beginning January 1, 2018, all licensed providers, applicants, directors, and employees must complete training as specified on mandated reporter duties. Training is available at www.mandatedreporterca.com. The applicant has completed the required mandated reporter training. Recertification is required every two years.

Safe Sleep Regulations:

Licensing staff 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-andresources/safe-sleep , as an additional resource. Licensing staff also informed applicant of the importance of checking for and removing 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.

No smoking, No Johnny jumpers, No saucer chairs: any other items that fall into that category are prohibited in the facility.

Incidental Medical Services (IMS)

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) 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.

Reporting Requirements:

1- Changes should be reported to the Department as soon as they occur, such as construction, remodeling, telephone number changes, and/or moving out of your home.

2- Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Continued Page 5.

Resources:

The Child Advocacy Program was discussed with the applicant. The applicant was advised to register for the program to receive quarterly reports and other information in a timely manner. To register, email ChildCareAdvocatesProgram@dss.ca.gov.

Applicant was informed about the MyChildCarePlan.org site, a consumer education website that helps families access childcare by connecting them with childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

The following information regarding (ADA) Americans with Disabilities Act was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

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/communitycare-licensing/ subscribe and select the Child Care option to receive email communication.

Licensing staff advised the applicant on how to access forms, regulations, and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov/inforesources/community-care-licensing.

FACILITY FORMS/RECORDS - Facility files must contain the following documents/information:

Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist (LIC 9148), Unusual Incident/Injury Report (LIC 624B), Child Care Facility Roster (LIC 9040), Property Owner/Landlord Notification (LIC 9149), Property Owner/Landlord Consent (LIC 9149), Entrance Checklist – Family Child Care Homes (LIC 126), Forms/Records to Keep In Your Family Child Care Home (LIC 311D), Safe Sleep Flyer-What Does A Safe Sleep Environment Look Like?, Never Ever Shake A Baby Brochure.

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Personnel Records as specified in Title 22 Regulations 102416.1, Notice of Employee Rights (LIC 9052), one Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC 9108) per provider, Copy of Pediatric Cardiopulmonary Resuscitation & Pediatric First Aid (CPR & First Aid Certification), Proof of pertussis, measles, and Tuberculosis (TB) vaccines, Proof of influenza vaccine (or documentation of exemption), Proof of Mandated Reporter Training certificate, Copy of Criminal Background Clearance Transfer Request (LIC 9182), Copy of Criminal Record Exemption Transfer Request (LCI 9188).

INFORMATION TO BE POSTED IN YOU FAMILY CHILD CARE HOME – You are required by law to post the following:

Facility License (LIC 203), Waivers (if applicable), Notification of Parent’s Rights Poster (PUB 394), Earthquake Preparedness Checklist (LIC 9148), Emergency Disaster Plan (LIC 610A) California Car Seat Law (PUB 269). ). A Notice of Site Visit (LIC 9213) must be posted for 30 days after each site inspection by a Licensing Representative. Any Licensing Report documenting a Type “A” deficiency must be posted for 30 days during the hours that children are in care. Any Licensing Report or other document verifying compliance or non-compliance with the Department’s order to correct a Type “A” deficiency must be posted for 30 days during the hours that children are in care.

OTHER INFORMATION AND FORMS PROVIDED: (Posters were emailed to the applicant)

Capacity Handouts for a Large Family Child Care Home and Large Family Child Care Home were provided.

During the exit interview, the applicant confirmed that there are no Registered Sex Offenders living in the facility and the LPA completed the RSO profile in FAS.

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If licensed, the applicant is required to adhere to the terms and limitations stated on the license. A copy of this report and all other Licensing reports must be made available to the public for 3 years.

The Large Family Child Care Home was not in compliance with Title 22 Regulations at the time of inspection. The applicant is required to submit the following corrections to the licensing office by the due date of 6/12/2026.

1. Infant mattress

2. Three (3) wall heaters (barrier case)

In the event additional requirements are needed, the applicant will be notified. A license will be issued once all requirements are met.

Appeal rights were provided. Exit interview conducted and report was reviewed with the Kang, Byung AE .

(End of the Report).