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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423704
Report Date: 09/08/2022
Date Signed: 09/08/2022 12:01:39 PM

Document Has Been Signed on 09/08/2022 12:01 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:TAM, WING YEE MAEGANFACILITY NUMBER:
013423704
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
09/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Maegan TamTIME COMPLETED:
12:17 PM
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On September 8, 2022 at 11:10am Licensing Program Analyst (LPA) Indira Loza met with Licensee Maegan Tam for an unannounced case management for a Capacity Increase. The home and yard were inspected to conduct a health and safety check. Present during the inspection were 4 children and 4 fingerprint cleared staff. The teacher/child ratio was being met today. This center operates Monday through Friday 8 AM to 5 PM.

The Home has 2 bedrooms and 1 bathroom. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The furniture, equipment and activities appear to be age appropriate for the children in care. The home is a duplex with a daycare operating nextdoor, the facility (#013423619) shares the large play yard with this facility. Licensee is reminded that no commingling of children will be allowed between both licensed facilities. The heating and lighting is adequate. LPA Loza did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The Licensee provides the food and drinks to the children. LPA Loza observed a shaded area and age appropriate toys, that appear to in good repair. All required documents are posted for public review. The home is equipped with a working telephone, carbon monoxide detector, a smoke detector, a pull down fire alarm near the front door, and a 2A10BC fire extinguisher in the kitchen. The Licensee was granted a fire clearance on August 18, 2022, to allow for a capacity of 14 children. ON LIMIT AREAS ARE: The backyard, the Living room, the bathroom, and the bedroom to the left of the bathroom which is being used as a napping room. OFF LIMIT AREAS are the Kitchen and the Licensee's bedroom which is located to the right of the bathroom.

The Licensee was reminded that the Facility documents are to stay in the facility. The Capacity for the facility is being approved and may serve 14 children.

******************************************Report Continues on LIC 809-C***********************************************
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: TAM, WING YEE MAEGAN
FACILITY NUMBER: 013423704
VISIT DATE: 09/08/2022
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Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care facility. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with the Licensee and discussed 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. LPA also informed of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.


A notice of site visit was given and must remain posted for 30 days
Exit interview conducted and report was reviewed with the Licensee Maegan Tam
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
LIC809 (FAS) - (06/04)
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