Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619802
Report Date: 05/16/2018
Date Signed: 05/16/2018 01:51:47 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TIAN, RUOJUN FAMILY CHILD CAREFACILITY NUMBER:
376619802
ADMINISTRATOR:RUOJUN TIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 780-9698
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:14CENSUS: 7DATE:
05/16/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Ruojun TianTIME COMPLETED:
02:00 PM
NARRATIVE
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LPA Monica Cuddy conducted an unannounced inspection with the Licensee. Translation assistance was provided by LPA Selina Siao via telephone. The single story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present were the Licensee and 7 day care children. Upon arrival LPA observed children napping in the living room. One child was sleeping in a car seat. There was also an exersaucer in the room. The fire extinguisher, carbon monoxide detector and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water or weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certifications expire on 5/22/18. Licensee maintains emergency records for children. Licensee did not have proof of immunity against measles, pertussis, or influenza.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include 2 bedrooms, 2 bathrooms, living room, kitchen and family room. The fire place is covered by a television. There is a working phone at the facility. The licensee has sufficient age appropriate, toys and equipment available. The home has a fenced backyard available for outdoor activities.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2018
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TIAN, RUOJUN FAMILY CHILD CARE
FACILITY NUMBER: 376619802
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/17/2018
Section Cited
CCR
102423(a)(2)
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Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment. This regulation was violated as evidenced by LPA's observation of a child sleeping in a car seat. This poses an immediate risk to the health and safety of the child.
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Licensee will cease use of car seats as napping equipment immediately. She will provide written statement indicating that she will no longer use car seats for napping children. Statement will be sent to licensing by 5/17/18.
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Type A
05/17/2018
Section Cited
CCR
102416.5(e)
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Staffing Ratio and Capacity. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home. This requirement was not met as evidenced by the licensee being the only adult in the home with 7 children, none of whom were school age. This poses an immediate risk to the health and safety of the children.
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Licensee will provide written statement to licensing no later than 5/17/18 explaining how she will ensure that she operates within the required ratios at all times.
Type B
05/17/2018
Section Cited
CCR
102417(g)(10)
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Operation of a Family Child Care Home. A baby walker is not permitted on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). This requirement was not met as evidenced by the presence of an exersaucer in the living room where children were napping. This poses a potential risk to the health and safety of children in care.
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Licensee removed exersaucer during visit. No other corrections are needed.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2018
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TIAN, RUOJUN FAMILY CHILD CARE
FACILITY NUMBER: 376619802
VISIT DATE: 05/16/2018
NARRATIVE
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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.

Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.

See LIC 809D for deficiencies cited.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2018
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TIAN, RUOJUN FAMILY CHILD CARE
FACILITY NUMBER: 376619802
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2018
Section Cited
HSC
1597.622(c)
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Health and Safety code. Licensee is required to provide proof of immunity against Measles, Pertussis and influenza. This requirement was not met as evidence by the licensee not having proof of immunity against these diseases. This poses a potential risk to the health and safety of the children in care.
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Licensee will provide proof of immunity against Measles, Pertussis, and Influenza to licensing within 30 days.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2018
LIC809 (FAS) - (06/04)
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