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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416346
Report Date: 10/08/2024
Date Signed: 10/08/2024 05:01:33 PM

Document Has Been Signed on 10/08/2024 05:01 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ZHANG, ZHIFENGFACILITY NUMBER:
434416346
ADMINISTRATOR/
DIRECTOR:		ZHANG, ZHIFENGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 992-1037
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 10DATE:
10/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:15 PM
MET WITH:Zhifeng ZhangTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Mandeep Kaur and Linke "Kate" Huang conducted an Case Management inspection. LPAs met with Licensee, Zhifeng Zhang.

LPAs reviewed licensee's file records including Mandated Reporter Training (AB1207). Licensee self-admitted that three of the three staff (S1, S2, & S3) files records are not available for review. Based on records reviews and interviews, licensee and three staff (S1, S2, & S3) do not have certificate of completion of Mandated Reporter Training (AB1207).

As a result of this inspection, Type B citation was issued on 809-D. Appeal rights provided to licensee, Zhifeng Zhang.

Exit interview conducted and report was reviewed with Licensee, Zhifeng Zhang.

A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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Document Has Been Signed on 10/08/2024 05:01 PM - It Cannot Be Edited


Created By: Mandeep Kaur On 10/08/2024 at 04:13 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ZHANG, ZHIFENG
FACILITY NUMBER: 434416346

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2024
Section Cited
CCR
1596.8662(b)(1)

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(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:
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Licensee agreed to submit the proof of the certificate of completion of Mandated Reporter Training (AB1207) for Licensee, and three staff (S1, S2, & S3)by POC due date to the department.
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Based on records reviews and interviews, licensee and three staff (S1, S2, & S3) do not have certificate of completion of Mandated Reporter Training (AB1207).
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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:Belinda Devall
LICENSING EVALUATOR NAME:Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


LIC809 (FAS) - (06/04)
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