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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422269
Report Date: 12/02/2024
Date Signed: 12/02/2024 11:44:31 AM

Document Has Been Signed on 12/02/2024 11:44 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:LI, WEI MINGFACILITY NUMBER:
013422269
ADMINISTRATOR/
DIRECTOR:		LI, WEI MINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 407-2878
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 2CENSUS: 0DATE:
12/02/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Wei Ming LiTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 12/2/2024 at 10:00AM Licensing Program Analyst (LPA) Jaleesa Jackson arrived for an Unannounced
Annual/Random Inspection. At the time of inspection Licensee was dropping off a child at school when LPA arrived. LPA met with Licensee when she arrived at 10:30AM. Present for this inspection was the licensee and 1 fingerprint cleared adult residing in the home. There were no children present for today's inspection. Currently residing in the home are the licensee and 4 fingerprint cleared adult tenants. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Saturday, 9:00AM to 6:00PM.

ON LIMITS: Living room, Family Room (Isolation area), and Bathroom #1 (first door left of hallway)
OFF LIMITS: Garage, Front and Back yards, Kitchen, Bathroom #2, Laundry room and all 4 bedrooms. Off limit areas are inaccessible by closed and/or locked doors, and visual supervision.

The home is a single story owned by the Licensee with heating and ventilation for safety and comfort. LPA observed there were age appropriate toys that were in safe and good condition. There is a fully charged 2A10BC fire extinguisher, working carbon monoxide, smoke detectors, and telephone. Licensee stated there are no firearms or pets or smoking at the home.

LPA reviewed 2 children's files and found them to be complete. The facility roster was reviewed, and a copy obtained. Licensee's CPR and First Aid training are current and expire 1/2026. License's Mandated Reporter training is complete and expires 6/1/2026. The licensee conducts and documents disaster drills. The last drill was conducted 9/18/2024. All other required licensing documents are posted and visible for public review.

There were no deficiencies cited on today's inspection.
Continued on 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/02/2024
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: LI, WEI MING
FACILITY NUMBER: 013422269
VISIT DATE: 12/02/2024
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days 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-andresources/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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Wei Ming Li, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Continued on 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
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: LI, WEI MING
FACILITY NUMBER: 013422269
VISIT DATE: 12/02/2024
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A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Wei Ming Li.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2024
LIC809 (FAS) - (06/04)
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