<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418109
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:59:09 PM


Document Has Been Signed on 01/26/2023 02:59 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 STE 1102
OAKLAND, CA 94612



FACILITY NAME:THUSE, MEGHAFACILITY NUMBER:
013418109
ADMINISTRATOR:THUSE, MEGHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 416-0291
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY:14CENSUS: 8DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Megha ThuseTIME COMPLETED:
03:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On January 26, 2023, at approximately 1:45 PM Licensing Program Analyst, Lorraine Dacanay Breaux made an unannounced annual 1 year required inspection to the facility. LPA Breaux met with Licensee, Megha Thuse present for the inspection was fingerprint cleared husband, eight (8) children in care. Hours of operation is Monday - Friday 8:00 AM - 5:30 PM. All required posting are at the entrance.

This is a two story home: On Limits: Living room, family room, kitchen, bedroom and bathroom on the first floor, and rear yard. Off limits: Entire second floor all bedrooms on second level and bathrooms and garage. All off limit areas are inaccessible by closed and/or locked doors, gate at the base of the stairs, and visual supervision. Per the licensee, the ISOLATION AREA will be in bedroom (first floor) away from the other children, until parents pick up. Fire place is screened off and located in the livingroom. Per licensee no firearms and pets in the home. OUTDOOR/Rear Yard: Due to the weather the yard has not been used, LPA unable to inspect, all items were covered to protect from rain. The rear yard is fully fence.

The day care rooms are neat and clean, with heating and ventilation for safety and comfort. There were age appropriate toys that were observed to be safe and in good condition. LPA did not observe any hazardous materials, or toxins accessible to children on the premises during the inspection. The facility had a working smoke detector, carbon monoxide detector, and fully recharged size 3A40BC fire extinguisher. There are no bodies of water such as pools, hot tubs, or similar bodies of water were inaccessible to children. Poisons, detergents, cleaning compounds, and medication were inaccessible to children.

Staff and Children files were reviewed and found to be complete and licensee is in ratio during today’s inspection. The facility roster was reviewed, and a copy obtained.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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 2


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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: THUSE, MEGHA
FACILITY NUMBER: 013418109
VISIT DATE: 01/26/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The licensee’s Pediatric CPR/First Aid certificate is current and expires on 1/30/2023. Licensee and all adults living in the home are in compliance with immunization law which pertains to day care providers, and mandated reporter training was completed on 10/23/2021. LPA reminded the licensee of the following: Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

Incidental Medical Services (IMS) policy was discussed. 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 Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.



Licensee [or facility representative] 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 [or facility representative] 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 [facility representative] 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.

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 inspectionprocess@dss.ca.gov. 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/inspection-process.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided. Exit interview conducted and report was reviewed with the licensee [or facility representative] Megha Thuse
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2