<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621189
Report Date: 07/15/2024
Date Signed: 07/15/2024 09:55:47 AM

Document Has Been Signed on 07/15/2024 09:55 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:FU, YALIFACILITY NUMBER:
343621189
ADMINISTRATOR/
DIRECTOR:		YALI FUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 893-3063
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/15/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Yali FuTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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
Licensing Program Manager (LPM) Bettina Engelman, Licensing Program Analyst (LPA) Corina Beckby met with Licensee, Yali Fu for the purpose of an Informal Office Meeting. Translation in Mandarin was provided by LPA Almond (Man) Tso, who joined the meeting virtually and via phone call. LPM Engelman defined the difference between a Non-Compliance and an Informal Meeting. LPM advised Ms. Fu the purpose of today’s meeting is to help provider gain compliance.

Today's informal meeting was to discuss the repeated Type A citations issued on 05/24/23 and 06/06/24 for over capacity, missing carbon monoxide detector, and poisons accessible to children, as well as repeated Type B citations for incomplete children and staff files.

Licensee is informed of the Civil Penalty citations that were issued on 5/24/23 for uncleared adults, in the amount of $200.00. In addition, Licensee did not clear one adult by the due date; therefore, a failure to correct civil penalty was issued on 05/31/23, in the amount of $600.00.

Licensee stated she has taken the following steps to maintain compliance. A functioning carbon monoxide detector will remain always plugged in. Licensee has disenrolled families to maintain capacity limits. Licensee will refer to the Large and Small family Child Care
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: FU, YALI
FACILITY NUMBER: 343621189
VISIT DATE: 07/15/2024
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
26
27
28
29
30
31
32
page 2...

Capacity ratio posters to maintain compliance with or without assistant. These posters will be placed with required postings. Licensee will do a visual inspection of the inside and outside of the home prior to children arriving to ensure toxic, poisonous and/or cleaning products are not accessible to children and properly locked. On 07/08/24, LPA Beckby supplied Licensee with a checklist of all required forms to have in children’s files. Licensee will refer to this checklist upon enrollment of new families. Licensee made files for each assistant and adults living in the home with required forms. Licensee will contact LPA if she has any questions.

LPA and LPM reminded Licensee of her responsibility for providing supervision and maintaining communication with families and department/LPA. LPM and LPA provided Technical Support Program (TSP) brochure, which is a non-enforcement arm of the Community Care Licensing Division offering on site support to licensees and providers. LPA will follow-up with Licensee Yali Fu for TSP services. LPA discussed using the Department website (ccld.ca.gov) for child care updates, legislation, forms and regulation information at www.cdss.ca.gov/inforesources/child-care-licensing. LPM suggested viewing information videos at www.ccld.childcarevideos.org.

This report was reviewed by Licensee Yali Fu.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2