013418570-3-8-2023-52-CC-AWRT-CPR2ZZ-20230308165109

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418570
Report Date: 03/08/2023
Date Signed: 03/08/2023 04:51:19 PM

Document Has Been Signed on 03/08/2023 04:51 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KAPOOR, RASHI		FACILITY NUMBER:	013418570
ADMINISTRATOR:	KAPOOR, RASHI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 797-2640
CITY:	FREMONT	STATE: CA	ZIP CODE:	94555
CAPACITY:	14	CENSUS: 4	DATE:	03/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Rashi Kapoor		TIME COMPLETED:	05:00 PM

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On March 8th, 2023 at approximately 2:45pm, Licensing Program Analyst (LPA) April Wright arrived for an Unannounced Required 1 Year Inspection, and met with Licensee Rashi Kapoor. Present for this inspection were four (4) preschool children and the licensee's fingerprint cleared assistant Shashi Joshi. Also residing in the home are the licensee's fingerprint cleared spouse and daughter. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation are Monday through Friday, 9:00am to 5:30pm.

ON LIMITS: Kitchen, living room (isolation room), family room (daycare room), first floor bathroom, fenced backyard.
OFF LIMITS: Second floor, garage. Off limit areas are inaccessible by closed and/or locked doors and visual supervision.

The two story home was orderly and neat, with heating and ventilation for safety and comfort of children in care. The stairway has a child safety gate in place to prevent access to the second level of the home. The isolation area is the living room which is away from children in care. The outdoor play area is fenced, and is free from defects and dangerous conditions. There are age appropriate toys that were observed to be safe and in good condition. Toxins, medicines, and hazardous items were inaccessible during today's inspection. There is a fully charged 3A40BC fire extinguisher, working carbon monoxide/smoke detectors, working telephone, and first aid kit. The fireplace has a glass cover and is blocked and inaccessible to children. Per licensee, there are no firearms in the home.

LPA requested and reviewed the files of four (4) children in care. All files contained Immunization, Parent's Rights, and Medical Consent forms. The facility roster was reviewed, and copies were obtain. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 12/12/2022. CPR/First Aid certificate is current and expires 06/12/2023 and Mandated Reporter training on 06/7/2021. The licensee is in ratio today. All required forms are posted and visible for public review.

See LIC809C for continuance..

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KAPOOR, RASHI	FACILITY NUMBER: 013418570
	VISIT DATE: 03/08/2023

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Licensee Kapoor 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.

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.

Incidental Medical Services (IMS) policy was discussed. No IMS is provided at this facility at time of inspection. 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

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.

There are no deficiencies cited today. A notice of site visit was given and must remain posted 30 days. Exit interview conducted and report was reviewed with Licensee Rashi Kapoor.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

LIC809 (FAS) - (06/04)

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