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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420458
Report Date: 11/09/2023
Date Signed: 11/09/2023 12:00:10 PM

Document Has Been Signed on 11/09/2023 12:00 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LUO, YU YUFACILITY NUMBER:
013420458
ADMINISTRATOR:LUO, YU YUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 828-0328
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/09/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Licensee, YUYU LUOTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee, YU YU LUO for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee’s husband. Present during this inspection was Licensee, her husband and helper supervising three (3) infants and four (4) preschoolers. This facility is providing care to the child(ren) of military family. Licensee lives in the home with her husband. The home is a two story home with 4 bedrooms, 2.5 bathrooms, living room, family room, kitchen, dining area, garage and back yard and front yard. The hours of operation are 7:30AM- 6:00PM, Monday -Friday. The facility has liability insurance through Accord company and LPA verified the liability insurance during this inspection.
ON-LIMIT AREAs the living room, family room, and kitchen, dining area, half bathroom on the first floor and front yard walk thorough only and backyard.
OFF-LIMIT AREAs are the entire second floor and garage. The off-limit areas are made inaccessible to children by locked doors, safety gates and visual supervision.

LPA observed the following: Daycare Area is clean, orderly, and equipped with age-appropriate toys and equipment for children, indoors and outdoors. Home has a working telephone, a working smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. There are no bodies of water or Fireplace in the Daycare area. There are ample of age-appropriate toys. Each child has separate cot labeled with their name and separate blanket. The blankets are washed weekly by the Parents. There is a child safety gate located at the bottom of the stairs to prevent access to the stairs and upper levels to children in care. The outdoor play area is fenced and equipped with age-appropriate toys. Licensee states there are no guns or weapons of any kind in the home. The facility provides am/pm snacks and lunch.

Licensee and helper have valid CPR on the file. Licensee conducted last emergency drill on 06/23/2023 and is properly logged. Licensee and helper have current Mandated Reporter training on the file. Discipline policy is redirection. LPA reviewed children’s files. All the files are complete and up to date. All required postings are properly posted. Licensee document 15 minutes sleep check and LPA reviewed the sleep log during the inspection. The facility roster is complete and reviewed.

see next page...

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LUO, YU YU
FACILITY NUMBER: 013420458
VISIT DATE: 11/09/2023
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During Inspection, Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.



Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

No deficiency cited during today's inspection.

Exit interview conducted and report was reviewed with the licensee, YU YU LUO.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023
LIC809 (FAS) - (06/04)
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