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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313844
Report Date: 02/24/2022
Date Signed: 02/24/2022 12:03:45 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/17/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220217085138
FACILITY NAME:YANG, LINFACILITY NUMBER:
304313844
ADMINISTRATOR:YANG, LINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(646) 402-3338
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY:14CENSUS: 15DATE:
02/24/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lin YangTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 2/24/22. LPA met with the licensee Lin Yang, who guided LPA on a tour of the facility and census of children was taken. 15 children, 2 assistants, and the licensee were present during the inspection. During today’s inspection it was observed the facility was not operating within its licensed capacity nor within compliance of ratio. During the course of the investigation, LPA interviewed the licensee, and adult #1 and 2 assistants, and conducted a physical plant inspection. During the interviews with licensee, adult #1, and assistants, it was disclosed that the facility sometimes has 15 to 16 children in care, and of these children no children are attending kindergarten or older. LPA observed during the inspection 15 children in care, and briefly a 16 child in care. Of these children none were attending kindergarten or older. Based on these obervations and interviews, the facility has been determined to be in violation of Title 22 Regulations 102416.5(a) and 102416.5(d)(2)(a), and two seperate A violations are cited on the attached LIC9099D. From the information gathered by LPA at the time of this inspection, the allegation of Facility operating out of ratio has been substantiated. (continued on LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20220217085138
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: YANG, LIN
FACILITY NUMBER: 304313844
VISIT DATE: 02/24/2022
NARRATIVE
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(page 2)

Based on this gathered information, the preponderance of evidence standard has been met, and therefore the above allegation has been found to be substantiated.

Due to the Type A violations cited today, the licensee shall post, and provide copies, of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. A Notice of Site Visit form was given to licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20220217085138
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: YANG, LIN
FACILITY NUMBER: 304313844
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2022
Section Cited
CCR
102416.5(a)
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The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This was not met as evidenced by:

Based on LPA's observations and interviews, it was determined that the facility operates over it's licensed capacity of 14. This presents
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During the inspection Licensee returned the facility to capacity and ratio compliance by having children picked up. Licensee stated they will submit a detailed plan via email explaing how the facility will remian within compliance of capacity and ratio compliance. This email will be sent to LPA by 2/24/22.
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an immediate threat to the children's health and safety.
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Type A
02/24/2022
Section Cited
CCR
102416.5(d)(2)(a)
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A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met: (a) At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age. This was not met as evidenced by:
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During the inspection Licensee returned the facility to capacity and ratio compliance by having children picked up. Licensee stated they will submit a detailed plan via email explaing how the facility will remian within compliance of capacity and ratio compliance. This email will be sent to LPA by 2/24/22.
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Based on LPA's observations and interviews, it was determined that the facility operates with over 12 children and does not have a child attending kindergarten or older, nor a child age 6 or older when there is a 14th child. This presents an immediate threat to the children's health and safety.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3