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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614798
Report Date: 03/13/2023
Date Signed: 04/17/2023 01:44:15 PM

Document Has Been Signed on 04/17/2023 01:44 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LE, NGHI FAMILY CHILD CAREFACILITY NUMBER:
376614798
ADMINISTRATOR:NGHI LEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 566-6995
CITY:SAN DIEGOSTATE: CAZIP CODE:
92121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Licensee's spouse Mynhung PhamTIME COMPLETED:
01:50 PM
NARRATIVE
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On 4/17/2023 @ 1:10 p.m. Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of an Annual Inspection. During this visit, there were no children in and Licensee was away from home. His wife contacted him by phone. He wants to keep the Licensee but his wife needs to leave to pick up her children. This inspection will be initiated and conducted at a later date. There are no children enrolled in the day care. The facility is within ratio and capacity. Ms. Pham does not speak English fluently.

During the initial tour, LPA did verify that the smoke detector/carbon monoxide detector was not working and that there were medications (sleep medications and cold medication) out, accessible to children in the kitchen as well as a pair of scissors on the kitchen counter. The stairs were not secured but no children are enrolled. At this time, LPA was unable to conduct a full investigation and will be citing for these specific deficiencies today.

Both Ms. Pham and Licensee had current CPR/FA with A-B-Cpr thru 7/24 and all postings.

See LIC 809D for deficiencies.

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.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2023
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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Document Has Been Signed on 04/17/2023 01:44 PM - It Cannot Be Edited


Created By: Joelle Redding On 04/17/2023 at 01:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LE, NGHI FAMILY CHILD CARE
FACILITY NUMBER: 376614798

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.543
Licensure Requirements
Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the dual smoke detector/ctarbon monoxide detector was not operational. and Ms. Pham stated there was not another in the house. The licensee did not comply with the section cited above. As Licensee is not doing day care, this poses a potential, rather than immediate risk to the health, safety or personal rights risk to children.
POC Due Date: 04/28/2023
Plan of Correction
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Licensee stated by phone to give him a list of corrections and he will fix everything.
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, there were stool softeners, cold medication and scissors accessible on the kitchen counters. The licensee did not comply with the section cited above.As there are no day care children enrolled, this poses a potential rather than immediate risk to the health, safety or personal rights of children in care.
POC Due Date: 04/18/2023
Plan of Correction
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Licensee stated by phone to give him a list of corrections and he will fix everything.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Joelle Redding
LICENSING EVALUATOR SIGNATURE:
DATE: 04/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/17/2023


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 04/17/2023 01:44 PM - It Cannot Be Edited


Created By: Joelle Redding On 04/17/2023 at 01:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LE, NGHI FAMILY CHILD CARE
FACILITY NUMBER: 376614798

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that there were clorox wipes accessible on the kitchen counter. As there are no day care children in care, this poses a potential rather than immediate health, safety or personal rights risk to children in care.
POC Due Date: 04/18/2023
Plan of Correction
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Licensee stated by phone to give him a list of corrections and he will fix everything.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Joelle Redding
LICENSING EVALUATOR SIGNATURE:
DATE: 04/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/17/2023


LIC809 (FAS) - (06/04)
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