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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846567
Report Date: 09/19/2024
Date Signed: 10/18/2024 07:02:00 AM

Document Has Been Signed on 10/18/2024 07:02 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:FU FAMILY CHILD CAREFACILITY NUMBER:
364846567
ADMINISTRATOR/
DIRECTOR:		YE FUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 475-6990
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 8DATE:
09/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Ye FuTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
NARRATIVE
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 Licensing Program Analyst (LPA) Rachel Zeron made an unannounced case management visit to conduct a final inspection of the License's pool cover to determine if it will meet Title 22 regulations. LPA took census and met with Licensee to discuss the reason for the visit today.

LPA Zeron and Licensee, Ye Fu proceeded to the Licensee's pool area. The pool area is surrounded by a 5 foot brick wall and and iron gate that is equiped with a pool alarm. LPA observed the pool to have a secure cover and the spa was covered by a piece of wood that was bolted and secured to the cement. The Licensee had to pool water lowered and during this visit, Licensee walked across the pool, the cover stayed intact and LPA observed no water seep through the cover. Based on observation, The cover meets Title 22 regulations.

An exit interview was conducted with the Licensee. A copy of this report and a notice of site visit was given to the Licensee, Ye Fu. The notice of site visit must remain posted for the next 30 days.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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