198018541-12-27-2024-33-CC-SLEE-DCCPR5-20241227103209

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018541
Report Date: 12/27/2024
Date Signed: 12/27/2024 10:32:27 AM

Document Has Been Signed on 12/27/2024 10:32 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	WANG FAMILY CHILD CARE		FACILITY NUMBER:	198018541
ADMINISTRATOR/ DIRECTOR:	WANG, DONG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 940-5844
CITY:	TEMPLE CITY	STATE: CA	ZIP CODE:	91780
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	12/27/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Dong Wang		TIME VISIT/ INSPECTION COMPLETED:	11:00 AM

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Licensing Program Analyst, Seung Lee conducted an unannounced annual random site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Dong Wang and toured the facility. There were 7 children present. Individuals residing in the home are the licensee, and licensee's spouse. Licensee’s operating hours are Monday-Saturday 8am-6pm.

This is a single story home consisting of 2 bedrooms and 2 bathroom. The following areas are used for day-care: Living Room area, 1 bathroom, 1 bedroom, the backyard. Off limit areas include: 1 bedroom, 1 bathroom, and kitchen. Off limits areas include 1 bedroom, 1 bathroom, and kitchen.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the living room. First Aid/CPR certificate are valid thru 06/2025. The date on the card notes Licensee stated she has practiced fire/emergency drills with day-care children on 11/23/2024, providing LPA with disaster drill log. Licensee has a working telephone.

Detergents and cleaning supplies were inaccessible. Fire extinguisher has not been purchased in the last year. Receipt on extinguisher notes 06/27/2023. This is a potential risk to children in care. There is an operational smoke detector and carbon monoxide detector in the home that were tested during the inspection. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. There are no pools or spas, or other bodies of water. No pets are in the home per Licensee.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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: WANG FAMILY CHILD CARE	FACILITY NUMBER: 198018541
	VISIT DATE: 12/27/2024

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The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

Children's files were reviewed during this inspection.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. 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.

Deficiency cited on this inspection was in accordance with title 22 regulations pertaining to family child care homes. Please see the attached 809D for additional information. .

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs. LPA advised licensee to refer to Section 101173 and 101226 for further information on regulatory requirements. 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.

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
Exit interview was conducted with Licensee, Dong Wang. Appeal rights discussed and explained.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/27/2024 10:32 AM - It Cannot Be Edited

Created By: Seung Lee On 12/27/2024 at 10:12 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WANG FAMILY CHILD CARE	FACILITY NUMBER: 198018541
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/27/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations made during the inspection. The fact that the fire extinguisher has not been serviced or replaced within the last year is a potential risk to children in care.
	POC Due Date: 01/03/2025
	Plan of Correction
1 2 3 4	The Licensee stated she will replace the fire extinguisher and provide proof by the POC date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Katrina Chicote

LICENSING EVALUATOR NAME:

Seung Lee

LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2024

LIC809 (FAS) - (06/04)

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