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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006190
Report Date: 08/21/2024
Date Signed: 08/21/2024 03:43:35 PM

Document Has Been Signed on 08/21/2024 03:43 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WU FAMILY CHILD CAREFACILITY NUMBER:
198006190
ADMINISTRATOR/
DIRECTOR:		WU,YAN YUNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 272-3129
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:10 PM
MET WITH:Yun Yan Wu - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection for the purpose of obtaining an updated LIC9211 Request for Inactive Status. Upon arrival at 3:10pm, LPA met with Licensee Yan Yun Wu to whom the purpose of the inspection was explained. Tour was provided. There were no children present during the time of inspection. Facility wishes to become Inactive. Licensee is primarily Cantonese speaking.

During today's inspection, LPA obtained a signed LIC9211 indicating the licensee's desire to remain inactive from 08/21/2024 to 08/31/2025.

LPA reminded licensee of the conditions of Inactive Status:

  • Licensee cannot provide child care for more than one family
  • Licensee must continue to pay annual fees on time
  • Licensee must notify the Department if there are any changes to the above dates of inactive status.

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

Exit interview conducted and report was reviewed with the licensee Rosa Vera. Copy of report was provided.



END OF REPORT
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
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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