013422961-1-10-2024-52-CC-JSAI-CZCUHA-20240110143538

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422961
Report Date: 01/10/2024
Date Signed: 01/10/2024 02:35:56 PM

Document Has Been Signed on 01/10/2024 02:35 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:	GUPTA, JAGDEEP		FACILITY NUMBER:	013422961
ADMINISTRATOR:	GUPTA, JAGDEEP		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 507-9583
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	14	CENSUS: 12	DATE:	01/10/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Director, Jagdeep Gupta		TIME COMPLETED:	03:00 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	Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Jagdeep Gupta for the Annual Random Inspection. LPA disclosed the purpose of the Inspection and was granted entry into the Facility by the staff. Present during this Inspection was the Licensee and helper, supervising three infants and nine preschoolers. The Licensee lives in the house with her husband and two minor children. The home is two-story with four bedrooms, 2.5 bathrooms, a living room, a family room, a kitchen, a dining room, a garage with a laundry room, and a backyard. The hours of operation are 8:30 AM- 5:30 PM, Monday -Friday. The Facility has liability insurance through Markel company. ON-LIMIT AREAS are the entire first floor, which consists of the family room with half bathroom used for daycare children, living room, kitchen, dining room, and backyard. OFF-LIMIT AREAS are the entire second floor and the garage. All off-limits areas are made inaccessible to children by locked doors, safety gates, and visual supervision. LPA inspected the house for health and safety hazards. The daycare Area is clean, orderly, and equipped with age-appropriate toys and equipment for children, indoors and outdoors. The home has a working telephone, a working smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. There are no bodies of water or Fireplaces in the Daycare area. A child safety gate is located at the bottom of the stairs to prevent access to the stairs and upper levels for children in care. There are child-size tables and chairs for snacks and activities. LPA did not observe any hazardous materials or toxins accessible to children during today’s Inspection. The Facility has a good-condition cot, and each child has separate blankets. The Licensee has valid CPR. The Licensee provides daily snacks and meals. Discipline policy is redirection. The provider is reminded that NO walkers, exersaucers, jumpers, bouncers, or any similar items are to be used for children in care and shall be made inaccessible. Smoking is prohibited in family childcare homes. All required postings are properly posted. The Licensee has a complete record of 15-minute sleep checks. See the next page.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024

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: GUPTA, JAGDEEP	FACILITY NUMBER: 013422961
	VISIT DATE: 01/10/2024

NARRATIVE

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During the Inspection, the 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 the 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 the CCLD website. Training must be completed every two 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.

No deficiency was cited today however, one technical Violation was given.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with the Licensee, Jagdeep Gupta.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024

LIC809 (FAS) - (06/04)

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