376629120-8-1-2022-20-CC-MMAE-CGVVEU-20220801162254

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376629120
Report Date: 08/01/2022
Date Signed: 08/01/2022 04:23:04 PM

Document Has Been Signed on 08/01/2022 04:23 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	AH SING, EMMA FAMILY CHILD CARE		FACILITY NUMBER:	376629120
ADMINISTRATOR:	EMMA AH SING		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 804-6124
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92107
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 9	DATE:	08/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:53 AM
MET WITH:	Emma Ah Sing		TIME COMPLETED:	01:30 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 8/1/22 at 10:53am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced annual inspection and met with Licensee, Emma Ah Sing. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were nine (9) daycare children present licensee’s helper, licensee’s husband and home owner, Theodore Shank. This facility is a single story four (4) bedroom, (3) bathroom home. The following areas are utilized for childcare: dining room, kitchen, bedroom #4 and bathroom #3. Off-limit areas include: living room, master bedroom and bath, bedrooms #2 and #3 and bathroom #2, which are made inaccessible through the use of a safety gate. Hours of operation are Monday - Friday 8:00am - 1:00pm. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. LPA observed hazardous items inaccessible to children in care. LPA informed licensee poisons shall be placed in a storage area and locked. The fireplace is made inaccessible through the use of a secure screen. LPA observed toys and materials available for children. The home has a fenced backyard available for outdoor activities. LPA informed licensee children shall be supervised during outdoor activities. Licensee stated there are no bodies of water and LPA did not observe any bodies of water. Licensee stated there are no weapons in the home. 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. Licensee’s first aid and CPR certifications expire 2/5/24. Mandated reporter certificate expired 1/22/22 and licensee’s helper did not have a certificate on file for review, see LIC809-D. The last fire/disaster drills were conducted and documented 4/25/22. Continued on LIC809-C...

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

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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Document Has Been Signed on 08/01/2022 04:23 PM - It Cannot Be Edited

Created By: Martha Malane On 08/01/2022 at 12:34 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AH SING, EMMA FAMILY CHILD CARE	FACILITY NUMBER: 376629120
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/01/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above in two (2) out of two (2) staff did not have a current mandated reporter certificate on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/15/2022
	Plan of Correction
1 2 3 4	Licensee stated she will submit proof of completed mandated reporter certificates for her and her helper, Sara Ah Sing to CCL by 8/15/22.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Tulam Vu

LICENSING EVALUATOR NAME:

Martha Malane

LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AH SING, EMMA FAMILY CHILD CARE	FACILITY NUMBER: 376629120
	VISIT DATE: 08/01/2022

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 stated she does not care for infants at this time, however LPA discussed the safe sleep regulations with licensee 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 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.
LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.govIn addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, deficiencies were cited, see LIC809D.

Exit interview conducted and report was reviewed with licensee, Emma Ah Sing. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

LIC809 (FAS) - (06/04)

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