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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004260
Report Date: 07/28/2022
Date Signed: 07/28/2022 02:25:09 PM

Document Has Been Signed on 07/28/2022 02:25 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:CHEN, DANTONGFACILITY NUMBER:
384004260
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 1CENSUS: 1DATE:
07/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Dantong Chen (Dorothy)TIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management today. LPA met with the licensee, DanTong Chen (Dorothy). The purpose of the inspection was explained to her. There was an infant present. The licensee requested to switch the children's bathroom to a bigger bathroom she had in the house. She also wanted to add the backyard to her daycare. LPA inspected the added areas for health and safety hazards. The children's bathroom was clean and free of harmful objects. The lower bathroom sink cabinet and drawer were latched. LPA inspected the backyard. The license accessed the backyard from the side gate that was next to the garage door. The backyard was completely fenced. The licensee separate the shed area that was located in the back of the yard with the fence. There were plenty of age-appropriate outdoor toys, ride-on toys, slide structure, and play house, and children's furniture available. The licensee also installed a artificial turf underneath the slide structure to prevent injury. The large children's bathroom and backyard were approved to add to the daycare areas. As of today. the daycare areas were the living room, dining room, bathroom #2 (it is next to the mother-in-law's bedroom -#3), and the front portion of the backyard. The off-limit areas were all bedrooms, bathroom#1(it s next to the kitchen), in-law, garage, and back portion of the backyard.

This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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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