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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015701081
Report Date: 02/14/2024
Date Signed: 02/14/2024 03:25:59 PM

Document Has Been Signed on 02/14/2024 03:25 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:CHEN, MEIFENGFACILITY NUMBER:
015701081
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 1CENSUS: 1DATE:
02/14/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Meifeng Chen- LicenseeTIME COMPLETED:
03:45 PM
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On 2/14/24, Licensing Program Analyst (LPA) Briana Plumboy, met with licensee Meifeng Chen for an ANNOUNCED PRE LICENSING INSPECTION. The licensee stated on the Lic. 279 she lives in her home with her husband Jiajie Situ, and on 2/12/24 she sent in a new Lic. 279B stating there are no children living in the home. The licensee plans to operate the facility Monday through Friday from 8:30am until 5:30pm.

During today's inspection, LPA Plumboy toured the facility and verified licensee has bags of clothes at the home and stated she and her husband have fully moved in.

This home is recommended for licensing on 2/14/24. This report shall remain on file for 3 years. Exit interview conducted with licensee Meifeng Chen.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2024
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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