013420760-6-20-2022-52-CC-RHAR-CFKQ3D-20220620114833

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420760
Report Date: 06/20/2022
Date Signed: 06/20/2022 11:48:45 AM

Document Has Been Signed on 06/20/2022 11:48 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:	MUJRAL, ANUPAMA		FACILITY NUMBER:	013420760
ADMINISTRATOR:	MUJRAL, ANUPAMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 896-8656
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	14	CENSUS: 4	DATE:	06/20/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:33 AM
MET WITH:	Anupama Murjal		TIME COMPLETED:	11:55 AM

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On June 20, 2022 at approximately 8:30am Licensing Program Analyst (LPA) Russ Haderer arrived for an unannounced annual inspection for Health and safety. Present for the inspection was licensee and 1 child in care; licensee’s assistant and 10 additional children arrived during the inspection for a total of 11 children in care (4 infants; 5 two-years old; 2 three-years old). The facility is in ratio today. Hours of operation are from 8:30am to 5:30pm.

The facility is a single story 4-bedroom, 3 bath home with an attached 2-car garage. It is owned by the licensee and contains a large foyer in entrance area, dining room, family room, living room (with screened gas fireplace) kitchen, dedicated daycare room in the back, enclosed (fenced) side and backyard areas. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the bedroom/office near the daycare room away from the other children in care.

On-limit-areas include: Children’s daycare area in the back of the house (includes a small kitchenette), with an attached children’s bathroom, side yard (entrance for daycare) and main backyard area used for play. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area.

Off-limit-areas include: The all four bedrooms, 2 main house bathrooms, the dining room, kitchen, foyer area and attached 2-car garage and north side yard of the house. The off-limit area will be inaccessible by closed and/or locked doors, and/or by child supervision.

Licensee has ample age-appropriate toys and learning materials. The home has a fully charged 3A40BC fire extinguisher stored in children’s bathroom in the daycare room. There is a working telephone, a combined smoke detector and carbon monoxide detector (tested and functioning).
Licensee carries liability insurance through Markel Insurance the policy is valid 6-1-2022 through 6-1-2023.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022

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: MUJRAL, ANUPAMA	FACILITY NUMBER: 013420760
	VISIT DATE: 06/20/2022

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Disaster drills are conducted every other month, the last one was completed on March 31, 2022. Per licensee, there are no firearms in the home. There is a small water feature (fountain) in the backyard play area. Licensee reminded that this must always be kept empty of water. LPA did not observe any hazardous materials, or toxins accessible to children on the premises during the inspection.

Children files were reviewed, roster was available and a photo copy taken. All records were complete and in good order. LPA reviewed facility files including records for licensee and assistant. All facility files were complete and well organized.

The licensee’s Health and Safety training is completed, and CPR and First Aid certificates are current and expire 05/18/2024. Mandated Reporter certificate just expired on 6/10/2022. Assistants Mandated Reporter expires 3/8/2024 (Chandrawati). CPR for Chandrawati is current and expires 5-18-2024. Licensee and assistant are in compliance with the immunization laws which pertains to day care providers.

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

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.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022

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: MUJRAL, ANUPAMA	FACILITY NUMBER: 013420760
	VISIT DATE: 06/20/2022

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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.

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 during today’s inspection: This report will remain on file for 3 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 Anu Mujral.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022

LIC809 (FAS) - (06/04)

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