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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420709
Report Date: 10/10/2024
Date Signed: 10/10/2024 11:55:55 AM

Document Has Been Signed on 10/10/2024 11:55 AM - 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NG, MUILAMFACILITY NUMBER:
013420709
ADMINISTRATOR/
DIRECTOR:		NG, MUILAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 706-8378
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
10/10/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Muilam NgTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On October 10, 2024 at approximately 8:30am Licensing Program Analyst (LPA) Randy Miranda met with licensee Muilam Ng for an unannounced annual inspection for Health and safety. Present for today’s inspection was the licensee, his fingerprint and TB cleared wife, fingerprint and TB cleared granddaughter, and 9 children in care (3 infants, 3 two years old; 3 three years old). The home is in ratio. The hours of operation are Monday - Friday 8:30am 6:00pm.

The Licensee only speaks Cantonese. Licensee’s granddaughter was present to help interpret and assisted during the inspection. LPA was utilizing interpretation services prior to granddaughter’s arrival.

The facility is a single-story home consisting of a kitchen, living room, family room, four bedrooms, infant sleeping room, two bathrooms, an attached two-car garage and an enclosed/fenced private backyard. The home is neat and clean, with heating and ventilation for safety and comfort. LPA did not observe any hazardous materials or toxins accessible to children today.

ON LIMITS area includes the living room, family room, and main house bathroom at the end of the hall, and the room addition (infant sleeping room) off the family room.
OFF LIMITS areas include the four bedrooms down the hall to the and left again down the hall past the house bathroom; attached two-car garage; and entire backyard area. The home has heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the on-limits child care room (infant sleeping room) away from the other children in care.

LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection. There are age-appropriate toys, learning materials, and equipment that appear to be safe and in good condition.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NG, MUILAM
FACILITY NUMBER: 013420709
VISIT DATE: 10/10/2024
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There are ample age-appropriate toys and learning materials inside and outside the home. The outdoor play area has ample toys that are free from defects and dangerous conditions. Per licensee, there are no firearms in the home. Drop-down cribs are not allowed at the day-care facility. Toxins, medicines, and hazardous items were inaccessible during today's inspection.

The licensee and spouse’s Health and Safety training is completed, and CPR and First Aid certificate both expire on January 6, 2024. Licensee’s mandated reporter training expires on June 10, 2026. Licensee was reminded that CPR/1st Aide certificate is required to be renewed every two years.
The licensee, licensee’s spouse, and granddaughter (translator), are all in compliance with TB immunization with negative results. The licensee is up to date with the immunization laws which pertains to day care providers. Records were present showing Tdap and MMR immunization.

Fire/disaster drill log was available; the last drill conducted on September 5, 2024. The home has a fully charged 2A10BC fire extinguisher mounted in the family room. The home has working fire alarms (tested) and a working carbon monoxide detector (tested). There is no fireplace in the home.



Children’s files were reviewed. The child care facility roster was available and records were complete and in good order. Infants had signed and dated Infant Safe Sleep Plans (LIC9227) and sleep logs were maintained.

For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed the safe sleep regulations with licensee Muilam Ng 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 [facility representative] 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.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NG, MUILAM
FACILITY NUMBER: 013420709
VISIT DATE: 10/10/2024
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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.

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.

No deficiencies were issued today. A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.



Exit interview conducted and report (translated by granddaughter), was reviewed with the licensee Muilam Ng.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
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