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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423330
Report Date: 07/11/2024
Date Signed: 07/11/2024 11:30:28 AM

Document Has Been Signed on 07/11/2024 11:30 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LEI, SARA & WONG, ANTHONYFACILITY NUMBER:
013423330
ADMINISTRATOR/
DIRECTOR:
SARA LEI & ANTHONY WONGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 399-8189
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
07/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Licensee Lei, Sara and Anthony WongTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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
Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Sara Lei and Anthony Wong for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. During this inspection, both the Licensees were present and were supervising four (4) infants and eight (8) preschoolers. The licensee is within the ratio today.The home is two-story with five bedrooms, five bathrooms, a family room, a kitchen, a dining room, a laundry room, a garage, and a back yard. The hours of operation are 7:30 AM- 5:30 PM, Monday -Friday.
ON LIMITS areas: first level-bedroom located on the left next to main entrance, bathroom located next to bedroom, kitchen/dining area, 2nd bedroom converted to playroom located next to family room and backyard area.
OFF LIMITS areas: entire second level, bathroom adjacent to the second bedroom on first level and the garage. All the off limits areas are made inaccessible by closed and/or locked doors and visual supervision during the inspection.
The daycare Area is clean, orderly, and equipped with age-appropriate toys and equipment for children, indoors and outdoors. The 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 in the daycare area during today's inspection. The Fireplace in the family room is screened to prevent access. The facility has ample age-appropriate toys.The backyard has a playhouse, age-appropriate bikes, and scooters for the children. Each child has separate blankets and sheets. The parents wash the blankets weekly. The outdoor play area is fenced. The Licensee states there are no guns or weapons of any kind in the home.There are multiple high chairs in the dining area for the children to use during snacks and meal time. A child safety gate is located at the bottom of the stairs to prevent access to the stairs and upper levels for children in care.
The Licensee's CPR and first aid certificates are current and expire on 11/19/2025. Licensee's mandated reporter certificate is current and expires on 07/03/2025. The Licensee conducted the last emergency drill on 06/07/2024, which is properly logged. The Licensee provides daily snacks and meals. The discipline policy is redirection. LPA reviewed the children's files. All the files are complete and up to date. All the infant's files have individual sleep plans ( LIC9227). All required postings are properly posted. The Licensee documented the 15-minute sleep check.
See next page...
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LEI, SARA & WONG, ANTHONY
FACILITY NUMBER: 013423330
VISIT DATE: 07/11/2024
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
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.

NO DEFICIENCY IS CITED TODAY.

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

Exit interview conducted and report was reviewed with the licensees Sara Lei and Anthony Wong.

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

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3