<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423317
Report Date: 06/03/2021
Date Signed: 06/03/2021 01:08:40 PM

Document Has Been Signed on 06/03/2021 01:08 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:KUANG, HUITINGFACILITY NUMBER:
013423317
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
06/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Huiting KuangTIME COMPLETED:
01:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 06/03/2021, LPA Jonathan Williams met with Licensee, Huiting Kuang, for an unannounced case management inspection for a change of capacity (increase). Present for this inspection are the Licensee, three fingerprint cleared and associated adults, the Licensee's 13 year old daughter, and seven children in care (one infant, five preschool-aged children, and one school-aged child). Facility operating hours are Monday through Friday from 8:30am-6:00pm. The facility was toured to conduct a Health and Safety Inspection.

The home is a one story home and is tidy and clean. The backyard was observed to be fenced at 10:15am and was observed to be free of dangerous defects and conditions during this inspection. LPA observed there to be toys and learning materials in the facility throughout the inspection. LPA observed there to be no pools, hot tubs, ponds, or any other bodies of water in the on-limits areas during today's inspection. Per Licensee, there are no firearms kept in the home. Per Licensee, the home has central heating. Per Licensee, nobody smokes in the facility. Per Licensee, there are no firearms kept in the home. The facility is in ratio today. The Licensee conducts fire/disaster drills at least every six months.

Fire clearance was granted by Newark Fire Department on 05/19/2021.

ON LIMIT AREAS: Living room, kitchen, laundry room, dining room, bathroom, bedroom 1, backyard playground area, outdoor learning facility, outdoor playground facility.
OFF LIMIT AREAS: Bedroom 2, bedroom 3, back unit, green shed, flower garden, side yard closest to the house.
ISOLATION AREA: Bedroom 1.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KUANG, HUITING
FACILITY NUMBER: 013423317
VISIT DATE: 06/03/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Child-staff ratios for large Family Child Care Homes were discussed at 12:35pm and Licensee was reminded there needs to be a fingerprint cleared assistant working in a large Family Child Care Home if there are more than 8 children present. Licensee was also reminded that if the Licensee is the only person present, the facility must revert to the capacity requirements of a small Family Child Care Home (a maximum of 8 children). Capacity requirements for a large Family Child Care Home were discussed at 1:00pm.

A license for a large Family Child Care Home is recommended effective 06/03/2021.

There are no deficiencies cited at this time. This report shall remain on file for 3 years. Exit interview was conducted at 1:00pm. Notice of site visit provided.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KUANG, HUITING
FACILITY NUMBER: 013423317
VISIT DATE: 06/03/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
At 10:35am, LPA observed the facility to have a fully charged 3A40BC fire extinguisher. Smoke detector and carbon monoxide detectors were tested and confirmed by LPA to be functional at 11:40am. Licensee has a working telephone. Licensee produced proof of enrollment in CPR/1st Aid training, which will renew current certificate which expires on 7/2021. Licensee has current certificates for required Mandated Reporter trainings ("General" and "Child Care Providers") which expire on 2/15/2023.

Licensee was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Licensee was reminded that California Law requires licensed Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624b). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the Licensee that all forms can be downloaded at www.ccld.ca.gov and encouraged the Licensee to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The Licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed at 12:30pm. This facility does not provide IMS to children in care at this time. Licensee was notified that when any changes to the IMS plan is made, an updated 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: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3