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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846685
Report Date: 04/18/2025
Date Signed: 04/18/2025 11:14:06 AM

Document Has Been Signed on 04/18/2025 11:14 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:ZHOU FAMILY CHILD CAREFACILITY NUMBER:
364846685
ADMINISTRATOR/
DIRECTOR:		ZHOU, YIFANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 866-1106
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91737
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/18/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:38 AM
MET WITH:Yifan Zhou, ApplicantTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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On 04/18/2025, Licensing Program Analyst (LPA) Raymond Moorehead and Licensing Program Manager (LPM) Aaron Ross arrived at the facility to conduct a follow up pre-licensing inspection from the last visit that was conducted on 04/07/2025. This follow up inspection is in regards to the family child care's in-ground pool and fountain. Present during this inspection was Applicant Yifan Zhou. LPA and LPM toured the facility, inside and out and the following was observed and/or discussed:


During today's visit, LPA and LPM observed two different bodies of water at the home. The first body of water that was observed was a fountain that was measured to be 1 foot and 11 inches deep. The fountain was observed in the backyard. The fountain was observed to have a body of water, and is surrounded by a wooden fence that was measured at 2 feet and 9 inches. The second body of water that was observed during today's visit was a in-ground pool that is located on the left side of the backyard (if you are facing home from the front) ; and leads to the front of the house/driveway area.

The front of the in-ground pool is fenced off by a wrought iron gate that was measured to be 5 feet. Please note that the wrought iron fence did not self close or self latch. Other than the wrought iron fence, the pool is surrounded by a brick wall that measures to be at minimum of 5 feet and 8 inches in parts. LPA/LPM observed the outer side of the brick wall surface to have protrusions that would serve as as handholds or footholds that could enable a child to climb over. If you are facing the pool from the wrought iron fence's entrance, the left side of the pool area is protected by a brick wall. The brick wall obscures the pool from view, if you were on the outside of it.
NAME OF LICENSING PROGRAM MANAGER: Aaron Ross
NAME OF LICENSING PROGRAM ANALYST: Raymond Moorehead
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ZHOU FAMILY CHILD CARE
FACILITY NUMBER: 364846685
VISIT DATE: 04/18/2025
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LPA and LPM reviewed Assembly Bill 2866 (Pool Safety) and PIN 25-01-CCP with Applicant Yifan Zhou.

Applicant was informed that the following corrections must be made before licensure:


1.) Applicant's pool gate must be self closing and self latching.
2.) Applicant must ensure that the brick wall's outside surface is free of protrusions, that would serve as handholds or footholds that could enable a child to climb over.
3.) Applicant must obtain a rescue pole with a body hook and a minimum fixed length of 12 feet.
4.) Applicant must obtain a life ring with a minimum exterior diameter of 17 inches (and labeled as approved by the United Sates Coast Guard) and a rescue pole with a body hook and minimum fixed length of 12 feet.
5.) Applicant must also be prepared to perform a daily inspection of their drowning prevention safety features and safety equipment before opening the facility, and they must maintain a log of the inspections to be provided to the department upon request
6.) Applicant must ensure that the fountain comes into compliance. Applicant was advised that she may install a gate that is at least 5 feet in height, or ensure that the fountain does not hold any water.

Once all corrections have been verified and management conducts a final review, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. Applicant advised that all corrections are due within 30 days or the application may be withdrawn.

The Applicant, Yifan Zhou, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

Exit interview conducted and report was reviewed with Applicant, Yifan Zhou.

NAME OF LICENSING PROGRAM MANAGER: Aaron Ross
NAME OF LICENSING PROGRAM ANALYST: Raymond Moorehead
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2025
LIC809 (FAS) - (06/04)
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