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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417365
Report Date: 08/16/2024
Date Signed: 08/19/2024 08:57:16 AM

Document Has Been Signed on 08/19/2024 08:57 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:HUANG, FUYUANFACILITY NUMBER:
434417365
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 2DATE:
08/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:48 AM
MET WITH:Fuyuan HuangTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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On 08/16/2024 at 8:48am, Licensing Program Analyst (LPA) Farida Raja conducted an unannounced Case Management Inspection in response to a request to increase the capacity from 8 to 14 children. LPA met with Licensee, Fuyuan Huang, and explained the purpose of today's visit. Present in the home were licensee and two assistant's (S1 and S2) and two infants which is compliant with current home capacity requirements. There are four adults residing in the home: licensee, cousin and two tenants. All adults have criminal record clearances. There are no minor children residing in the home. Licensee has been licensed as a small Family Child Care Home License since 08/22/2023 and thus has met the minimum one year experience requirement. Fire clearance was granted on 07/29/2024.

Licensee states that the daycare is open Monday to Friday from 8:30 AM to 6:00 PM. Licensee has completed the Preventative Health and Safety Training including Nutrition and Lead Poisoning Prevention and a copy of the certification is on file. Licensee's CPR and First Aid certifications are current and expire on 07/08/2025. LPA discussed and provided Licensee a copy of the ratio and capacity chart. LPA obtained a copy of children's roster. Applicant leases the house and a Property Owner/Landlord Consent form (LIC 9149) and is on file.

LPA inspected the indoor and outdoor areas of the home. The home is a two storey with four bedrooms and three baths. LPA observed a fully charged 3A40BC fire extinguisher in the kitchen, functioning smoke and carbon monoxide detectors and barricaded and covered fireplace. Last fire drill was conducted on 04/30/2024. Off limits areas in the home are entire second floor, bedroom #2 & #4, bathroom inside bedroom #4, laundry area, storage closet and garage. The stairs to the upper level are through a door in the kitchen area. Cleaning products, sharp objects, and other similar items are stored inaccessible to children above the refrigerator, in high kitchen cabinets or in the laundry area. Licensee states that there are no weapons or pets in the home. Backyard is fenced and both sides of the home are gated. LPA observed sufficient toys, supplies and play equipment for the children both indoors and outdoors.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2024
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 JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: HUANG, FUYUAN
FACILITY NUMBER: 434417365
VISIT DATE: 08/16/2024
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 Off limit areas outside the home are gated left and right side sections to ensure inaccessibility to children. The outdoor space and play equipment were observed to be age appropriate and free of hazards. Shade is provided by canopy and trees. There were no bodies of water observed. LPA observed that the bathroom used by children was in operating condition. Toilets and faucet are clean and operable. The shower area is free of any hazards. Licensee has 4 play pens and 15 nap mats to be used by children during nap time. All food is prepared and provided for children by the FCCH. Filtered and boiled waster is provided to children.

LPA reviewed two assistant's files (S1 and S2) and they were complete with required forms. LPA reviewed 15 minute nap checks conducted for two infants in care. Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Supervision of children was discussed with Licensee, and he understands that he or a qualified adult must be present in the home during day care hours and ensure that the children are supervised at all times. LPA discussed the requirement for Licensee to be present at the facility 80 percent of the hours the facility is in operation and that temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Licensee understands the capacity options and he understands that he cannot have more than 14 children in the home at any time and a qualified assistant must be present. Licensee understands in absence of a helper the license capacity is reduced to 8 and ratio (age of the children) must be observed.

LPA observed a baby bouncer in bedroom 1 (nap room) during today's inspection. No children were observed using the bouncers. LPA reminded licensee that baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. Licensee stated that it was provided by a parent and no infants have been using it. Licensee placed the bouncer in an off limit area during today's inspection.



One technical violation was cited. Exit interview conducted with Licensee, Fuyuan Huang. LPA advised Licensee that a Large Family Child Care Home license will be issued upon manager review and approval.

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: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC809 (FAS) - (06/04)
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