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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417336
Report Date: 10/07/2024
Date Signed: 10/08/2024 02:16:54 PM

Document Has Been Signed on 10/08/2024 02:16 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:HU, YONGHUIFACILITY NUMBER:
434417336
ADMINISTRATOR/
DIRECTOR:		HU, YONGHUIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(669) 900-2207
CITY:SANTA CLARASTATE: CAZIP CODE:
95050
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
10/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Yonghui HuTIME VISIT/
INSPECTION COMPLETED:
03:25 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 10/07/2024 at 11:15am, Licensing Program Analysts (LPAs), Farida Raja and Linke 'Kate' Huang conduced an unannounced case management inspection. LPAs met with Licensee, Yonghui Hu and informed her of the purpose of today's inspection.

During today's inspection LPAs observed 7 children (2 infants and 5 preschool age) and three adults in the home including Licensee, Assistant, S2 and resident, S3. Licensee stated that S3 has been temporarily living in the home since 10/01/2024. LPAs reminded Licensee that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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. Based on fingerprint review, LPAs observed that resident, S3 has an administrative action that states that she is excluded from Community Care Licensing facilities.

During children's file review, LPAs observed that children, C1 and C2 are missing the Parent's Right's receipt (LIC 9995A) and Licensee did not have an updated facility roster during today's inspection. Through file review, LPAs observed that Licensee is not conducting 15 minute nap checks and documenting them for two infants, C3 and C4.

During facility walk through, LPAs observed that the fence on the right side of the home is leaning and the children's gate making the leaning fence and other outdoor areas off limits is not sturdy and can be lifted or pushed over. Licensee stated that she is in communication with the neighbor to repair the fence. Licensee stated that she will reinforce the children's gate so it is sturdy and safe for children in care. LPAs reminded Licensee that toothpaste, shampoos, air fresheners, razors, mouthwash, perfumes and similar items need to be placed inaccessible to children in the bathroom.

Continued on Page 2
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2024
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 5
Document Has Been Signed on 10/08/2024 02:16 PM - It Cannot Be Edited


Created By: Farida Raja On 10/07/2024 at 12:28 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: HU, YONGHUI
FACILITY NUMBER: 434417336

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/21/2024
Section Cited
CCR
102417(g)(8)

1
2
3
4
5
6
7
102417 (g) (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to complete roster and submit proof to LPA by plan of correction date of 10/21/2024.
8
9
10
11
12
13
14
Based on observation, record review and interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Licensee did not have a current roster during today's inspection.
8
9
10
11
12
13
14
Type B
10/21/2024
Section Cited
CCR102419(d)(1)

1
2
3
4
5
6
7
102419 (d) (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver Background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to have authorized representatives complete required forms and submit proof to LPA by plan of correction date of 10/21/2024.
8
9
10
11
12
13
14
Based on observation, record review and interview, the licensee did not comply with the section cited above for two chidlren (C1 and C2) which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2024


LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: HU, YONGHUI
FACILITY NUMBER: 434417336
VISIT DATE: 10/07/2024
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
 LPAs reminded Licensee that all cleaning products under the kitchen sink need to be child locked or placed in an area inaccessible to children in care as children use to kitchen area during meals and snacks.

LPAs observed that the wallpaper in the on limits Sun Room is peeling in several places and may be ingested by children. LPAs reminded Licensee that all areas on limit to children need to be safe and children need to be provided with safe, healthful, and comfortable accommodations, furnishings, and equipment while at the facility.

One Type A, two Type B deficiencies and one technical violation was cited as a result of today's inspection. Appeal rights and LIC 9224 were printed and provided to Licensee.

Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be given to each existing parent by the end of today or next day child is in care, and to any newly enrolled parents/guardians enrolled over the next 12 months from the date of this report. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file to confirm receipt of licensing report. LPA reminded Licensee that failure to correct deficiencies by Plan of Correction Due Date may result in civil penalties.

Exit interview conducted and report was reviewed with the licensee, Yonghui Hu. Today's inspection report was translated by LPA Huang to the Licensee in Mandarin.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 10/08/2024 02:16 PM - It Cannot Be Edited


Created By: Farida Raja On 10/07/2024 at 01:17 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: HU, YONGHUI
FACILITY NUMBER: 434417336

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/08/2024
Section Cited
CCR
102416(d)(1)

1
2
3
4
5
6
7
1102416 Personnel Requirements (d) Prior to ... or initial presence in the child care home, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or

This requirement is not met as evidenced by:



This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee shall immediately remove S3 from the home. Licensee shall submit a plan of correction to LPA by 10/08/2024. Civil Penalties in the amount of $500 were issued.
8
9
10
11
12
13
14
Through fingerprint review, LPAs observed that resident, S3 has an administrative action that states that she is excluded from Community Care Licensing facilities. This poses an immediate risk to the health, safety and perosonal rights of chidlren in care.
8
9
10
11
12
13
14
AB633 Parent Notification is required.
This report shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB633 requirements.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 10/08/2024 02:16 PM - It Cannot Be Edited


Created By: Farida Raja On 10/07/2024 at 02:37 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: HU, YONGHUI
FACILITY NUMBER: 434417336

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/21/2024
Section Cited
CCR
102425(j)(D)(c)

1
2
3
4
5
6
7
102425 Infant Safe Sleep (j) (D) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: c. Time of each 15-minute check. This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to submit log of 15 minute checks to LPA by plan of correction due date of 10/21/2024.
8
9
10
11
12
13
14
Through file review, LPAs observed that Licensee is not conducting 15 minute nap checks and documenting them for two infants, C3 and C4.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2024


LIC809 (FAS) - (06/04)
Page: 5 of 5