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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420645
Report Date: 04/08/2022
Date Signed: 04/08/2022 11:02:16 AM

Document Has Been Signed on 04/08/2022 11:02 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:DHINGRA, PREMFACILITY NUMBER:
013420645
ADMINISTRATOR:DHINGRA, PREMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 796-1609
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
04/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Prem DhingraTIME COMPLETED:
11:20 AM
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On April 8, 2022 at approximately 8:15am Licensing Program Analyst (LPA) Russ Haderer arrived for an unannounced 1-year annual inspection. Living in the home is the licensee, her fingerprint cleared and TB tested husband and son. Present in the home today is the licensee, her husband, son and 2 infant children in care (16 and 20 months). The hours of operation are 8:00am to 6:00pm.

The facility is a single story 4-bedroom, 2 bath home rented by the licensee with a family room (day care area); living room; dining room; kitchen; attached 2-car garage, side and back yard areas. The home has heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the living room, by the front door away from the other children in care.

On-limit-areas include: Family room (child care room); main house bathroom; hallway leading to the bathroom; , and main back yard grass area. There is a fully screened fireplace in the family room. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area

Off-limit-areas include: Master bedroom and master bathroom; remaining three bedrooms in the home, north side of the back yard; and attached 2-car garage. The off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by child supervision.

The home has a fully charged 3A40BC fire extinguisher in the kitchen, combined smoke alarm and a carbon monoxide detector (all tested and functioning), and a working telephone. Fire and earthquake drills are conducted a minimum of every 6 months, the last drill was completed on 4/1/2022. The licensee CPR and First Aid certificate are current and expire on 5/15/2023; Mandated Reporter has not been done as it is not yet available in the licensee’s native language. All adults living in the home were in compliance with immunization laws which pertains to day care providers. LPA reminded licensee of the following: CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: DHINGRA, PREM
FACILITY NUMBER: 013420645
VISIT DATE: 04/08/2022
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At 10:10am, children's files were reviewed. The facility roster was reviewed, and a copy obtained. All files were complete and in good order. LIC282 Notice of no Liability Insurance was signed, dated and included in the child’s files.
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.

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



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.

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.

There were no deficiencies issued today. A copy of this report will remain on file for three years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Prem Dhingra

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022
LIC809 (FAS) - (06/04)
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