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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417346
Report Date: 06/26/2024
Date Signed: 06/26/2024 11:36:23 AM

Document Has Been Signed on 06/26/2024 11:36 AM - 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:YANG, CHING HSINFACILITY NUMBER:
434417346
ADMINISTRATOR/
DIRECTOR:		YANG, CHING HSINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 688-9580
CITY:SAN JOSESTATE: CAZIP CODE:
95139
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
06/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Ching Hsin YangTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Oscar Huang met with licensee, Ching Hsin Yang for an unannounced case management visit. LPA explained the nature of today’s inspection to licensee.

Based on interview with licensee and facility records review, LPA learned that the facility was not in compliance with Title 22 regulation in family child care home capacity as the facility was operating with 5 infants and 3 preschoolers (including licensee's own infant and a preschooler) cared by license and an assistant.

A type "A" deficiencies were cited. A notice of site visit was given and must remain posted for 30 days. Exit interview was discussed and verbally translated into Chinese with and the report was giving to licensee, Ching Hsin Yang.

According to AB 633, all parents of children currently enrolled and any future children being enrolled for the next 12 months must be provided with this report which contains this type A deficiency.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
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 06/26/2024 11:36 AM - It Cannot Be Edited


Created By: Yangcheng Huang On 06/26/2024 at 10:21 AM
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: YANG, CHING HSIN
FACILITY NUMBER: 434417346

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/28/2024
Section Cited
CCR
102416.5(d)(1)

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Staffing Ratio and Capacity: (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants;
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Licensee needs to immediately ensure to be in compliance with laws and regulations, and to submit CCL a written statement indicating what steps the licensee is going to implement that she is operating within the required capacity by the POC due date.
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This requirement was not met as evidenced by: Based on interview with licensee, and facility record review, LPA learned there were 5 infants and 3 preschoolers (including her own infant and a preschool child) in care by licensee and an assistant. This poses an immediately safety & health risk to children in care.
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According to AB 633, all parents of children currently enrolled and any future children being enrolled for the next 12 months must be provided with this report which contains this Type A deficiency.

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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:Gladys Kuizon
LICENSING EVALUATOR NAME:Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:
DATE: 06/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/26/2024


LIC809 (FAS) - (06/04)
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