013420796-8-18-2022-52-CC-JSAI-CHESWE-20220818141409

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420796
Report Date: 08/18/2022
Date Signed: 08/18/2022 02:14:32 PM

Document Has Been Signed on 08/18/2022 02:14 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:	SULTANI, SHARARA		FACILITY NUMBER:	013420796
ADMINISTRATOR:	SULTANI, SHARARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 386-5727
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	14	CENSUS:	DATE:	08/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Licensee, Sharara Sultani		TIME COMPLETED:	02:30 PM

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Licensing Program Analyst ( LPA) Jyoti Saini met with Licensee, Sharara Sultani for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Present during this inspection was Licensee supervising 2 infants and 2 preschoolers. The home is a single home with 3 bedrooms including a master bedroom with master bathroom, one bathroom, living room, family room, kitchen, dining area, laundry room, garage and back yard.

The ON-LIMIT AREAS bedroom #1, bedroom #2, hallway bathroom, kitchen, dining area, living room and family room that is used as the main daycare area.

The OFF-LIMIT AREAS are the master bedroom and bathroom, laundry room and garage, and will be inaccessible to children by locked doors, safety gates and visual supervision at all the times.

LPA observed the following: Daycare Area is clean, orderly, and equipped with age appropriate toys and equipment for children, indoors and outdoors. Home has a working telephone, a working smoke, and a fire extinguisher that meets the minimum requirements. There are no bodies of water or fire place in the daycare,. There are child size tables and chairs for snack and activities. There are ample of age appropriate toys that appear to be safe and in good condition. LPA did not observe any hazardous materials or toxins accessible to children during today’s inspection. Licensee was instructed that smoking, baby bouncers, exersaucers, baby walkers and similar items are prohibited in the facility during day care hours. The napping room had cots in good condition and each child have their separate blankets. The blankets are washed by the provider as needed. Licensee states there are no guns or weapons of any kind in the home.

Licensee's CPR expire in 02/26/2024.. Licensee provides daily snacks and meals. Discipline policy is redirection. LPA reviewed children’s files. All required postings are properly posted.The licensee conducts and documents fire and disaster drills twice a year and the last conducted drill was on 05/10/2022.

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SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

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: SULTANI, SHARARA	FACILITY NUMBER: 013420796
	VISIT DATE: 08/18/2022

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During Inspection, 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.

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.

Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

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.

Exit interview conducted and report was reviewed with the licensee, Sharara Sultani .

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

LIC809 (FAS) - (06/04)

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