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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496800004
Report Date: 08/21/2024
Date Signed: 08/21/2024 03:24:57 PM

Document Has Been Signed on 08/21/2024 03:24 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:B&J STEPHANIEFACILITY NUMBER:
496800004
ADMINISTRATOR/
DIRECTOR:		ZHENG, JUN JIFACILITY TYPE:
735
ADDRESS:2430 SANTA CRUZ COURTTELEPHONE:
(707) 527-6709
CITY:SANTA ROSASTATE: CAZIP CODE:
95401
CAPACITY: 4CENSUS: 0DATE:
08/21/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:05 PM
MET WITH:Bing Wu (Co-Licensee)TIME VISIT/
INSPECTION COMPLETED:
03:24 PM
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An office meeting was conducted today in the Santa Rosa Regional Office with Licensing Program Manager Bethany Moellers, Licensing Program Analyst Marisol Cuadra and Co-Licensee Bing Wu regarding the operation of B&J Stephanie #496800004 and B&J Charning Cross #496802021. Co-licensee passed away and Wu will continue the operation of this facility. Facility documents on file indicate Wu is 51% ownership of both facilities. Wu informed an Administrator has been hired and agreed to submit required documents to CCL.

During today’s meeting it was discussed with Co-Licensee the possible options that they can choose to continue the operation of both facilities:

-submit a change within a corporate structure application to the Centralized Application Bureau (CAB).

-create a new corporation or LLC and submit a change of ownership application to CAB for both facilities.

Co-Licensee informed she will be submitting change in the structure application to CAB by not later than September 11, 2024.

CAB contact information was provided.

No deficiencies cited during today's office meeting. Exit interview conducted with Co-Licensee and a copy of this report was given.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
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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