Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596512
Report Date: 10/18/2018
Date Signed: 10/18/2018 10:07:08 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:TSENG FAMILY CHILD CAREFACILITY NUMBER:
191596512
ADMINISTRATOR:TSENG, WENDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 458-8628
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:14CENSUS: 9DATE:
10/18/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Wendy Tseng, LicenseeTIME COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) Carlos Gonzalez conducted an Annual Random inspection to the above facility. LPA met with Wendy Tseng, Licensee, who guided Analyst on a tour of the facility. Also present was Licensee's Assistant, Yuet Leung. LPA observed eight (8) children in care at the time of inspection, with one (1) additional child arriving a few minutes later. Per Licensee, twelve (12) children are currently enrolled in care at this time. A child's roster was available and is current.

This is a single story home which consists of 2 bedrooms, one of which is used as an office, 2 bathrooms, living room, dining room, den, kitchen, laundry room, front and back yards. The home was inspected for safety, comfort, cleanliness, ventilation, and telephone service (land line). Children have access to the office, living room, dining room, middle bathroom, den and back yard. Off-limits to children in care are the master bedroom and bathroom, kitchen, and laundry room.

Licensee states that she lives alone and is the only occupant of her facility (home). All individuals have obtained a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. Detergents, cleaning compounds, medications, and other items which could pose a danger, were inaccessible to children during this inspection.

LPA observed a fully charged 3-A:40-B:C fire extinguisher and the attached service tag indicates it was last serviced on 01/19/2018. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. The smoke and carbon monoxide detectors were working properly. There are age appropriate toys available for children. Per licensee, there are no weapons, firearms, pets, or bodies of water on the premises.
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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2018
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TSENG FAMILY CHILD CARE
FACILITY NUMBER: 191596512
VISIT DATE: 10/18/2018
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LPA advised the Licensee on how to access forms and regulations on line at: www.ccld.ca.gov.

LPA also advised Licensee on how to obtain the Department's Quarterly Updates via the following website address: www.childcareadvocatesprogram@dss.ca.gov



Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors, and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Effective January 1, 2018: Existing licensees must meet requirements by March 30, 2018. Preventive (OCAP) online training modules are free of cost and available at http://www.mandatedreporterca.com/.

LPA determined that Licensee and Assistant have completed the Mandated Reporter training requirement on 08/30/2018, based on the certificate's provided at the time of inspection.

Based on LPA’s observations and records review, there are zero deficiencies being cited during this inspection. Licensee is in compliance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Wendy Tseng, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2018
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TSENG FAMILY CHILD CARE
FACILITY NUMBER: 191596512
VISIT DATE: 10/18/2018
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The Licensee was observed to be operating within the licensed capacity limitations during this inspection. The Licensee has completed training on preventive health practices, which includes Pediatric First Aid and CPR. Licensee's First Aid/CPR card expires on 05/03/2019. There are first aid supplies available.

UPDATE: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
Children’s records were reviewed, including but not limited to, a copy of the emergency information card that contains all of the information required by regulation.

The following items were also discussed with licensee during this inspection:



· All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. LPA determined that Licensee last conducted an earthquake drill on 09/26/2018.
· POSTING REQUIREMENTS: Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.
· Infant Walkers, Johnny Jumpers, Saucer Chairs, or any other item that falls into these categories are not permitted in a family child care facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME.

Infant Care: Licensee states that she does not care for infants at this time.

Incidental Medical Services (IMS): The licensee states that there are no children enrolled that require IMS at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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.
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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Carlos GonzalezTELEPHONE: (323) 981-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2018
LIC809 (FAS) - (06/04)
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