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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700329
Report Date: 09/06/2023
Date Signed: 09/06/2023 01:55:07 PM

Document Has Been Signed on 09/06/2023 01:55 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LEE, POU LENGFACILITY NUMBER:
015700329
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
09/06/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Pou Leng LeeTIME COMPLETED:
02:00 PM
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On 09/06/2023 at 12:45pm, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced Case Management visit for the purpose of a capacity increase. LPA Uribe met with licensee, Pou "Qiana" Leng Lee, and also present at the time of the inspection was the licensee's fingerprint cleared husband & 6 day care children.

Application for Capacity Increase: All documents have been received for the increase of capacity application. The fire clearance for a capacity of 14 children was received from the Alameda County Fire Department on 08/31/2023. The licensee was reminded to abide by the conditions of the fire clearance which restricts the use of the garage & kitchen to children in care. The licensee was reminded that an assistant must be present at all times when there is more than 8 children in attendance. Whenever the assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

Fire Clearance: The Alameda County Fire Department granted the fire clearance to the facility on 08/31/2023. The comments of special conditions on the fire clearance deems that the garage and kitchen area to be off limits to children in care. Licensee understands this requirement.

Capacity for Large Family Child Care Home: The licensee's new capacity requirements for a large FCCH will be 12 children (no more than 4 infants and 8 older children) OR 14 children (No more than 3 infants, 11 older children, two of the older children must be enrolled in school).

The home is recommended for an increase of capacity and will go effective today, 09/06/2023.

A notice of site visit of given was given and must be posted for 30 days. Exit interview was conducted and report was reviewed with the licensee, Pou "Qiana" Leng Lee.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
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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