434417444-12-16-2024-07-CC-MSMS-DBZT24-20241216132008

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417444
Report Date: 12/16/2024
Date Signed: 12/16/2024 01:20:14 PM

Document Has Been Signed on 12/16/2024 01:20 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:	TING, HSIN WEI DAVID & LIN, CHIA-YI		FACILITY NUMBER:	434417444
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 1	DATE:	12/16/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:30 AM
MET WITH:	Hsin Wei David Ting & Chia-Yi Lin		TIME VISIT/ INSPECTION COMPLETED:	01:30 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	Licensing Program Analyst (LPA) Mel Matos met with Hsin Wei David Ting & Chia-Yi Lin, Applicants, to conduct an announced prelicensing inspection. Applicants have applied for a small Family Child Care Home license. LPA was granted access to the home by the Applicants. Hsin Wei David Ting's mother and Applicants four year old child were present in the home during today's inspection. Applicants and Hsin Wei, David Ting's mother, are the adults residing in the home. Applicants have two minor children (ages 4 years and 13 years) residing in the home. Days and hours of operation will be Monday - Friday from 8 AM to 5 PM. Applicants completed their Preventative Health and Safety Training on 09/07/2024 and a copy of the certifications are on file. Applicants CPR and First Aid certifications are current and expire on 08/29/2026. Applicants completed the Mandated Reporter Training for Child Care Workers and copies of the certifications are on file. A copy of current TB test, Mmr, Tdap, and flu vaccinations for the Applicants are on file. Because the Applicants rent/lease the home, proof of landlord notification is required. LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the Applicants confirm was provided to the property owner/landlord. Applicants obtained a signed Property Owner/Landlord Consent form (LIC 9149). Copies of both documents are on file. Applicants provided proof of control of property to the Department prior to today’s inspection and a copy of the lease agreement is on file. Applicants state that they will obtain liability insurance for her day care once they obtain their small Family Child Care Home License. LPA toured the indoor and outdoor areas of the home with the Applicants during today's inspection. The home is one story and there are no stairs inside the home. There are no wall heater units inside the home. Off limit areas inside the home: Master bedroom, bedrooms 1 & 2 bathrooms 2 & 3, kitchen, barricaded fireplace (located in living room 1), laundry space, and attached garage. Off limit areas outside the home: front yard and left side section of backyard. The home is clean, orderly, including central heating/air conditioning, and ventilation, for safety & comfort. Applicants have a valid phone in the home (#510-224-0928). There is sufficient toys, supplies, and equipment for the day care children indoors. Applicants understand that they must be present in the home at least 80% of the operating hours of the day care on a daily basis and ensure that the children are supervised at all times. Applicants understand their capacity options and they understand that they cannot have more than 8 children in the home at any time with at least one qualified adult present.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: TING, HSIN WEI DAVID & LIN, CHIA-YI	FACILITY NUMBER: 434417444
	VISIT DATE: 12/16/2024

NARRATIVE

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LPA observed a fully charged fire extinguisher (3A40BC), working smoke & carbon monoxide detectors, and fenced backyard. Applicants have a 7 gallon aquarium, with several fish located in the off limits kitchen area of the home. Applicants understand that fish food and related products must be kept inaccessible to the day care children. Applicants state that they do not have any weapons/ammunition in the home. Applicants state that they will provide all meals, including snacks and lunch, to the day care children. Applicants understand that any food or drink brought from home shall be labeled with each child's name and properly stored.

Cleaning Products, toxic agents, medications, and sharp objects were inaccessible to children. Applicants state that any poisons will be kept in the off limits attached garage. LPA reminded Applicants that smoking, baby walkers, and similar items are not allowed in Family Child Care Homes. Applicants state that a child will be isolated in the living room area if necessary due to illness or communicable disease. Applicants have a First Aid kit with a touchless thermometer in the home. Applicants state that they will not transport children via vehicle and that they understand that children cannot be left in parked vehicles unattended at any time.

Forms of discipline to be used by Applicants: talking to children. Applicants understand that children's personal rights should not be violated; including no corporal punishment. isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries, heat related illnesses, and requirements for assistant/substitute were also discussed. LPA informed the Applicants that fire/disaster drills must be practiced at least once every 6 months and documented.

Applicants states that they will not administer any medication to the children at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Hsin Wei David Ting & Chia-Yi Lin, Applicants, were 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. Applicants are awaiting clearances for Hsin Wei David's mother, who resides in the 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.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: TING, HSIN WEI DAVID & LIN, CHIA-YI	FACILITY NUMBER: 434417444
	VISIT DATE: 12/16/2024

NARRATIVE

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LPAs reviewed with Hsin Wei David Ting & Chia-Yi Lin, Applicants, the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Prelicensing Entrance Checklist – Family Child Care Homes (LIC 9280) was provided to the Applicants.

LPA discussed the safe sleep regulations with Hsin Wei David Ting & Chia-Yi Lin, Applicants, and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Hsin Wei David Ting & Chia-Yi Lin, Applicants, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

On this date, 10/23/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicants were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Applicants, Hsin Wei David Ting & Chia-Yi Lin , and advised them that a small Family Child Care Home License will be approved upon completion of the following:

1) Criminal Record & Child Abuse Index clearances for co-Applicant, Hsin Wei David Ting's mother.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

LIC809 (FAS) - (06/04)

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