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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422332
Report Date: 10/12/2022
Date Signed: 10/12/2022 12:27:16 PM

Document Has Been Signed on 10/12/2022 12:27 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CHENG, YUEN MEI & ZHEN, TONYFACILITY NUMBER:
013422332
ADMINISTRATOR:CHENG, YUEN MEIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 534-5578
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 2DATE:
10/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Yuen Mei Cheng & Tony ZhenTIME COMPLETED:
12:40 PM
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On 10/12/22, Licensing Program Manager (LPM) Loretta Dyson arrived at the home for an unannounced Required - 1 year inspection. LPM met with Yuen Mei Cheng and Tony Zhen. There were two infants in care during the inspection. This family child care home operates Monday - Friday 8am - 6pm. LPM verified that the licensee's phone number and email address on file are correct.

LPM toured the home with Tony Zhen, to conduct a health and safety inspection. The home is a one story home, and consists of 3 bedrooms, 2 bathrooms, living room, kitchen, dining area, storage area and basement. LPM observed that the home is neat and clean with heating and ventilation for the safety and comfort of children in care. The on limit areas include the first bedroom near the front door, the bedroom next to the living room, the living room, dining area, and bathrooms. The off limit areas include the rear bedroom near the kitchen, the kitchen, storage area, and basement. These areas are made inaccessible by closed and/or locked doors, gates, and visual supervision. LPM observed locks on lower cabinets to prevent access by children. The bedroom near the front door will be used for isolation of sick children, away from other children in care. The fireplace in the living room is blocked to prevent access by children. The front and back yards are used for outdoor play and both yards are fully fenced. LPM did not observe any hazards or dangerous conditions in either yard. LPM observed an ample supply of age appropriate toys, equipment and activities available for children both indoors and outdoors, and observed that they are in good condition. LPM did not observe any bodies of water, toxins, medications or hazardous items that would be accessible to children. The licensees stated that there are no firearms on the premises.

The home is equipped with fully charged 2A10BC fire extinguishers, a working carbon monoxide detector, working smoke detector, working telephone, and first aid kits and supplies. Both licensees have proof of current CPR/First aid certificates, which expire on 11/21/22. The last documented fire drill was conducted on 10/2/22. LPM observed all of the required forms posted. LPM reviewed children's files, staff files and obtained a copy of the current roster.
SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2022
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: CHENG, YUEN MEI & ZHEN, TONY
FACILITY NUMBER: 013422332
VISIT DATE: 10/12/2022
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LPM reminded the licensees that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. LPM reminded the licensees to review and follow current COVID-19 guidelines, and to report any injuries requiring medical attention or unusual incidents, including COVID-19 exposures and positive results at the facility. LPM provided the main office number for the Oakland Regional Child Care office for the licensees to call and report injuries or unusual incidents, and reviewed the form to follow up in writing within 7 days of the injury/unusual incident. The licensees were encouraged to periodically review regulations, guidelines and Provider Information Notices (PINs) on the website www.ccld.ca.gov.

The licensees were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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. LPM verified that the licensees, and all other adults living or working in the home, have a current criminal record clearance and are associated to the license. The licensees were reminded of their responsibility as mandated reporters, and the requirement to complete the mandated reporter training every 2 years, at www.mandatedreporterca.com.

LPM discussed the safe sleep regulations with the licensees and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPM also informed the licensees 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: http://www.ada.gov/childqanda.htm

SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: CHENG, YUEN MEI & ZHEN, TONY
FACILITY NUMBER: 013422332
VISIT DATE: 10/12/2022
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

LPM spoke with the licensees about the resource and referral (R&R) agency and will be providing the contact information in an email.

There are no deficiencies being cited as a result of the inspection today. An exit interview was conducted with the licensees, and the report, Notice of Site Visit and appeal rights were provided by email prior to LPM leaving the facility, due to printer not being available.

SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
LIC809 (FAS) - (06/04)
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