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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005147
Report Date: 09/20/2024
Date Signed: 09/20/2024 02:50:41 PM

Document Has Been Signed on 09/20/2024 02:50 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LIANG, ALEXANDRA L.FACILITY NUMBER:
414005147
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/20/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Alexandra Liang and Vince LiangTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On September 20th 2024, at approximately 1:00 PM., Licensing Program Analyst (LPA) Janet Gil conducted an announced pre-licensing inspection and met with the Applicant, Alexandra Liang and her spouse Vince Liang. LPA was granted entry by the applicant and spouse. LPA explained the purpose of the visit. No children were present today.

The applicant and her spouse living in the home and have cleared background checks and can be present in the childcare facility. Applicant owns this single-story home and plans to operate home day care in the back Accessory Dwelling Unit (ADU) of the home consisting of a living room, 1 bedroom(nap room), 1 bathroom, a kitchen, and a side yard space. The residents of the home are the Applicant herself, her spouse, and her two minor children. Per applicant. she has two pets, but they will not be present in any of the approved day care areas. Days and hours of operation will be Monday - Friday, 8:00 AM to 5:00 PM.

Day Care Areas: Living room, Bedroom(Nap Room), Bathroom, Kitchen, Back Office and Side Yard. Per applicant, she plans to utilize the back office as an isolation for sick/ill children with an adult present.

Off-limit Area: Main House, Back Shed, and two locked closets in ADU. All off limit areas are properly barricaded or locked and off limits.

At approximately 1:30 PM, LPA, the applicant, and spouse inspected the entire home for Health and Safety Hazards. The home is clean and orderly and has sufficient lighting and ventilation. There are a variety of age-appropriate toys and materials for children. LPA observed two sleeping mats in nap room. Per applicant, she plans to purchase more mats or playpen/cribs when she has children in care depending on facility needs. Applicant also plans to wash fitted sheets weekly. All furniture and playthings were observed to be in good repair. The facility has a dual carbon monoxide and smoke alarm detector. LPA tested detector in nap room which was observed to be in working condition. LPA observed two fully charged fire extinguishers in main day care area and back office. All harmful objects, sharp objects, and toxins are stored in facility high shelves inaccessible to children with a child lock.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LIANG, ALEXANDRA L.
FACILITY NUMBER: 414005147
VISIT DATE: 09/20/2024
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Applicant states that the home has no weapons, or firearms. All Electrical outlets have been covered by outlet covers or furniture in all Child Care areas of the home. The facility has no bodies of water, such as a swimming pool, spa, hot tub, or fishpond. The backyard play area is completely fenced and has a sand box with appropriate covering available.

At approximately 2:00 PM, LPA informed the applicant and spouse that emergency drills are required every six months and must be documented. Applicant was reminded that NO baby walkers, exer-saucers, jumpers, bouncers, and any similar items to be used for children in care should be made inaccessible. In addition, booster chairs are only used for the purpose of feeding/eating. Per applicant, she plans to cook for the children in care. The applicant was also reminded that smoking is prohibited at the day care.

Per applicant, she plans to provide care to infant-age children and preschoolers. Applicant's spouse showed LPA that Day Care program will have active liability insurance through Markel starting on 10/1/2024. LPA informed applicant that if childcare insurance is not purchased, each parent must be given the Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282). Applicant’s Pediatric First Aid CPR expires on 3/2025 and Mandated Reporter Training expires on 3/2025. Both certificates are valid, and copies have been submitted to the Department. Applicant was reminded that both certificates expire in two years.

LPA reviewed with the Applicant the LIC 311D; Forms/Records to Keep In Your Family Child Care Homes, children's forms/records, facility forms/records, and all required postings such as License/Parent's Rights poster/Emergency Disaster Plan and Earthquake Preparedness checklist. In addition, the Entrance Checklist was also provided to the applicant. The applicant plans to have all the required posting on the wall next to the front door in the main playroom.

License capacity regulations were also reviewed with applicant. LPA informed the applicant that if care is provided for a 7th and 8th child, they must be school-aged, and parent notification is required. Applicant only plans to care for 6 children.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LIANG, ALEXANDRA L.
FACILITY NUMBER: 414005147
VISIT DATE: 09/20/2024
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Applicant 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.

The applicant provided proof of control of property.



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.

LPA discussed the safe sleep regulations with the applicant and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

On this date, 9/18/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LIANG, ALEXANDRA L.
FACILITY NUMBER: 414005147
VISIT DATE: 09/20/2024
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Applicant was reminded that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. The Applicant was encouraged to obtain a copy of regulations and current licensing forms through the Department's website at www.ccld.ca.gov. The Applicant was also reminded of Mandated Reporter Online Training for Child Care Providers (AB 1207) and the additional General Training, and both are available on www.mandatedreporteca.com.

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

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 platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.


Capacity limits of a Small Family Child Care License has been reviewed.

Small Family Child Care Home License is approved and will be effective as of, 09/20/2024.

Exit interview conducted and report was reviewed with the applicant Alexandra Liang. The report was signed by the Applicant, Alexandra Liang and provided to her. This report will be kept in the facility file and available for public review upon request. Desk duty is available Monday - Friday, 8:00 AM – 5:00 PM (650) 266-8800. Website for Forms and Regulations: www.cdss.ca.gov.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC809 (FAS) - (06/04)
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