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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407985
Report Date: 11/15/2023
Date Signed: 11/15/2023 03:20:44 PM

Document Has Been Signed on 11/15/2023 03:20 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:YANG, FE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407985
ADMINISTRATOR:YANG, FEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 881-6590
CITY:PALO CEDROSTATE: CAZIP CODE:
96073
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
11/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:24 PM
MET WITH:Fe "Mindy" YangTIME COMPLETED:
03:31 PM
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On 11/15/23 at 2:24 pm Licensing Program Analyst (LPA) Mendez and Dutra, conducted a Case Management unannounced inspection relating to deficiencies discovered on 11/8/23. During the required annual year inspection, licensee did not have door alarms in operation that meets the requirements of the waiver. Licensee was issued a type A citation and immediate $500 dollar civil penalty. The door on to the side yard in the breezeway that leads to the pool has a working door alarm, a alarm was installed on pool gate. The sliding door lock leading to the back yard was fixed and gaping hole on the fence of the chain link fence was fixed. On 11/13/23 licensee submitted videos of installed door alarms and fixed fence meeting the conditions of the waiver

During today's site visit it was verified that licensee is meeting the conditions of the waiver which meets safety requirements. LPA observed the door alarms installed on the doors in the breezeway that leads to the pool, sliding door lock was locked, hole in the chain link fence was fixed and licensee was reminded that conditions of the waiver must be met and door alarms must be operational at all times.

The POC is cleared as of 11/15/23

This report was reviewed and discussed with licensee, Fe Yang. Notice of Site Visit shall be posted for 30 days from today's visit. There were no Title 22 deficiencies cited during today's inspection
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
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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