434416509-1-17-2023-07-CC-YHUG-CN6SYZ-20230117131819

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416509
Report Date: 01/17/2023
Date Signed: 01/17/2023 01:18:23 PM

Document Has Been Signed on 01/17/2023 01:18 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	QIU, MENG		FACILITY NUMBER:	434416509
ADMINISTRATOR:	MENG QIU		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 689-4081
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95050
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	01/17/2023
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Meng Qiu		TIME COMPLETED:	01:30 PM

NARRATIVE

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Licensing Program Manager (LPM), Gladys Kuizon and Licensing Program Analyst (LPA), Oscar met with Licensee, Meng Qiu at the San Jose Regional Office today for a scheduled Informal Meeting. The purpose of today’s meeting is to discuss the Licensee’s compliance history and ability to follow Title 22 Regulations.

This Informal Meeting is a direct result of recent type A citation dated during on complaint investigation on 10/26/2022, under section 102417(g)(6) Operation of a Family Child Care Home: Outdoor play areas shall be either fenced, or outdoor play shall be supervised by the licensee or caregiver.

Licensee, Meng Qiu submitted the Plan of Correction (POC), and all parents od child enrolled signed Acknowledge of Receiving Licensing Reports as requested by the department on 10/28/2022 prior to POC due date.

LPM, Gladys Kuizon explained the informal meeting and the administrative process. Licensee, Meng Qiu was advised that continued non-compliance with Title 22 Regulations could result in their license being referred to CCL's legal department for review and possible action against the license. Assembly Bill 633 (Child Care Parent Notification Requirements) and Acknowledgement of Receipt of Licensing Reports (LIC9224) was also explained and provided to Licensee, Meng Qiu during today’s meeting.

Licensee, Meng Qiu understands that the department will increase monitoring of the facility for the next twelve months.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

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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