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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020441
Report Date: 10/06/2021
Date Signed: 10/06/2021 03:28:43 PM

Document Has Been Signed on 10/06/2021 03:28 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LIAO FAMILY CHILD CAREFACILITY NUMBER:
198020441
ADMINISTRATOR:JIE LIAOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 378-0080
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
10/06/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Jie LiaoTIME COMPLETED:
03:35 PM
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On October 6, 2021 at 3:00 pm, Licensing Program Analysts (LPAs) Jose Guzman and Lilli Babcock conducted an unannounced Plan of Correction (POC) inspection to ensure that the Type A deficiency cited on 09/01/2021 has been cleared. Licensee’s assistant was also present and provided interpretation in Mandarin. A risk assessment was conducted after entering the facility. LPAs met with Licensee, Jie Liao who guided analysts on a tour of the facility. There were 2 children present during this inspection. The following has been observed:

1. LPAs observed 2 children present with Licensee and Assistant, completion date of 10/06/2021.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

LPAs Jose Guzman and Lilli Babcock cleared deficiencies on this date and provided a copy of the report to Licensee. LPAs issued POC clearance letter during the visit.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with Licensee, Jie Liao.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2021
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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