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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002036
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:51:18 AM

Document Has Been Signed on 05/17/2023 11:51 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:YIP KUANG, HUI TING FAMILY DAY CAREFACILITY NUMBER:
198002036
ADMINISTRATOR:YIP KUANG, HUI TINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 250-3990
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY: 12TOTAL ENROLLED CHILDREN: 1CENSUS: 1DATE:
05/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Hui Ting Yip Kuang TIME COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced annual required inspection at the above facility on 05/17/23 at 10:50 AM. LPA met with Hui Ting Yip Kuang, Licensee who guided LPA on a tour of the facility. The Licensee's husband, Soo Yip, was present during this visit. Per Licensee, there is one child currently enrolled. Days and hours of operation are Monday - Friday, 08:00 AM to 05:00 PM. The Entrance Checklist LIC 126, was provided to the Licensee during this visit. The Licensee's primary language is Cantonese. Language Link services used, agent Ivy #10926.

Family members residing in the home are the Licensee and her husband (criminal record clearances on file). This is a two story home which consists of 4 bedrooms, 4 bathrooms, kitchen, living room and side yard. The children use the bathroom in the hallway, living room, one bedroom and side yard for play. Per licensee, areas off limits to children and parents include: entire upstairs are, kitchen and the additional bedroom downstairs. There are kiddie gates blocking access to the kitchen and stairway. The LPA toured all areas used by children during this visit.

Fixtures, furniture and equipment were observed to be safe and in good condition. There are safe toys, play equipment and materials available for children. There is central air and heating in the home. There is a cell phone in the home. Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible. Smoke and carbon monoxide detectors were tested and are operable. Fire extinguisher indicates fully charged, based on receipt purchased on 04/07/23. Per Licensee, she prepares snacks and/or food items.

Currently children use sideyard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care.


*REPORT CONTINUES ON NEXT PAGE
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YIP KUANG, HUI TING FAMILY DAY CARE
FACILITY NUMBER: 198002036
VISIT DATE: 05/17/2023
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Isolation area for sick children waiting to be picked up will be near the doorway, away from the other children. Licensee states that there are no poisons stored in the home and understands that all poisons must be locked, not only inaccessible to children. Per Licensee there are no bodies of water on the premises, firearms or weapons stored in the home. Per Licensee, she does not provide transportation services. The Licensee does not provide overnight care.

Infant Care: Per Licensee she is not and will not be caring for infants. LPA informed licensee of the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months.

LPA observed the following required posted documentation: Facility License, Publication (PUB) 394- Notification of Parent Rights, and Earthquake Preparedness Checklist LIC 9148. LPA reviewed facility records for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan, verification of Disaster and fire drills, Earthquake and fire drill was conducted on 01/2023.



Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records (if applicable), LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, and LIC 995A Notification of Parents’ Rights. Child's file was observed to be complete.

Licensee's records were reviewed for approved Pediatric First Aid and CPR certification, the Licensee's certification expires 06/2023. LPA reviewed the LIC 508- Criminal Record Statement, Proof of immunization's against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse. AB 1207 Mandated Reporter training was completed in November 2022.

Incidental Medical Services (IMS) policy was discussed. Per Licensee, there are no children on medications. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a plan for providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Center and the ADA, available at: http://www.ada.gov/childqanda.htm

*REPORT CONTINUES ON NEXT PAGE
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: YIP KUANG, HUI TING FAMILY DAY CARE
FACILITY NUMBER: 198002036
VISIT DATE: 05/17/2023
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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 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 licensee 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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee, Hui Ting Yip Kuang.

*END OF REPORT

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
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