<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422968
Report Date: 02/01/2023
Date Signed: 02/01/2023 03:51:11 PM


Document Has Been Signed on 02/01/2023 03:51 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:GANDI, RAMESWARIFACILITY NUMBER:
013422968
ADMINISTRATOR:GANDI, RAMESWARIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 456-6890
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 12DATE:
02/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Rameswari GandiTIME COMPLETED:
04:00 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
On February 1, 2023 at approximately 11:00am Licensing Program Analyst (LPA) Russ Haderer met with licensee Rameswari Gandi for the purpose of conducting an unannounced 1-year annual inspection for Health and Safety compliance. Living in the home is licensee, her fingerprint cleared husband and their fingerprint cleared adult nephew. Present for today’s inspection was the licensee, two fingerprint cleared assistants 12 children in care (5 infants; one of which turn 2 years old in 9 days and the other in 25 days, and 7 preschooler age children). The facility is out of ratio today, see LIC809D for deficiency. The hours of operation remain Monday-Friday, 8:30 AM to 5:30 PM.

The facility is a 3-bedroom, 2-bathroom single story home an attached 2-car garage enclosed (fenced) backyard play area. There is a fireplace in the family room that is blocked with a TV stand to prevent access by children. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the second bedroom on the left side of the hall away from the other children in care.



LPA observed a planter bucket and a sand box container with up to about 6 inches of standing rainwater in them. This is a Type A deficiency, see LIC809D for deficiency. LPA did not observe any, hazardous materials, or toxins accessible to children on the premises during the inspection. The on-limits backyard play area has age appropriate toys and small structures. Licensee has ample age-appropriate toys and learning materials in the home.

There is a fully charged 2A10BC fire extinguisher attached on the wall of the dining room working smoke alarms and carbon monoxide detector (tested and functioning), and a working telephone. Disaster drills are conducted at least once every 6-months, the last one was done 10/21/2022. Per licensee, there are no firearms in the home.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 8


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: GANDI, RAMESWARI
FACILITY NUMBER: 013422968
VISIT DATE: 02/01/2023
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
26
27
28
29
30
31
32
On-limit include: Living room (child care area), hallway leading through the kitchen, passageway through the kitchen into the family room (has a fireplace that is covered by a TV stand), Sun Room (play area and children’s lunch room), house bathroom, second bedroom on the left side of the hall (used for isolation area) and center of backyard. Licensee was reminded that other than wipes or things used for the children in the 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-limits include: Kitchen, dining room, first bedroom on the left side of the hall, back master bedroom and master bathroom, and attached 2-car garage. Off limit areas are inaccessible by closed and/or locked doors, child gates and visual supervision.

The Licensee’s CPR and First Aid certificate is current and expires 6-19-2023 and mandated reporter training (verified AB1207) was completed on 5/25/2021 and not expired. Helpers did not have Mandated Reporter certificates, see LIC809D for deficiency. LPA reminded the licensee of the following: Mandated Reporter certificates are required for all staff and they must be renewed every two years; CPR/First Aid must also be renewed every two years. LPA reminded licensee that baby bouncers & drop-down cribs are not allowed at the day-care facility.

LPA reviewed children’s and facility files. Licensee does not carry liability insurance, all children’s files contained signed acknowledgement forms from parents. Sleep logs for infants were not available, see LIC809D for deficiency. All children’s files complete and in good order. Facility files were reviewed. Proof of negative tuberculosis (TB) tests missing for licensee’s husband, and adult nephew living in the home and also for a new helper recently hired see LIC809D for deficiencies. Licensee and helpers are in compliance with measles and pertussis immunization laws which pertains to day care providers.

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. Licensee’s new helper had fingerprint clearance but was not associated to the facility. A Technical Assistance for failure to be associated was issued this day.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023
LIC809 (FAS) - (06/04)
Page: 2 of 8
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: GANDI, RAMESWARI
FACILITY NUMBER: 013422968
VISIT DATE: 02/01/2023
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
26
27
28
29
30
31
32
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 5 deficiencies issued today: One Type A for standing water in containers in the on-limits children’s backyard play area. This deficiency must be posted at the facility for 30 days. The licensee was cited for the $500 civil penalty and must distribute a copy of the Type A deficiency to all current parents of children in care and they must return the licensing form acknowledging receipt. For the next one-year period, all parents of newly enrolled children must receive a copy of the deficiency and return the licensing form acknowledging receipt. All these signed acknowledgement forms must be kept in the children’s files for licensing review.

Four Type B deficiencies were issued today: 1. Facility was out of ratio, there were 5 infants in care (one of them turns 2 in 9 days); 2. Mandated Reporter certificate training was not current for two staff members; 3. Infant sleep logs were not available; 4. Proof of negative tuberculosis (TB) testing was not available for adult members living in the home and one staff member;

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Rameswari Gandi.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023
LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 02/01/2023 03:51 PM - It Cannot Be Edited

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: GANDI, RAMESWARI
FACILITY NUMBER: 013422968

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(5)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that there was a planter bucket and extra sand container observed in the children's play area containing up to 6 inches of standing rainwater which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/01/2023
Plan of Correction
1
2
3
4
Licensee dumped the water from the bucket and containers, moved them to the off-limits areas and turned them upside down.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2023
LIC809 (FAS) - (06/04)
Page: 4 of 8


Document Has Been Signed on 02/01/2023 03:51 PM - It Cannot Be Edited

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: GANDI, RAMESWARI
FACILITY NUMBER: 013422968

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in that infant sleep logs were not available which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/01/2023
Plan of Correction
1
2
3
4
Licensee to maintain sleep logs for all infants 0-24 months and document every 15-minutes. Going forward, these logs shall be maintained for all infants 0-24 months and kept at the facility for 3 years.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in that licensee's assistants did not have current Mandated Reporter Child Care Provider (AB1207) available which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/06/2023
Plan of Correction
1
2
3
4
Licensee shall require helpers to complete Mandated Reporter training and print their certificate as proof of completion. Going forward, licensee will ensure all helpers have current (unexpired) Mandated Reporter Child Care Provider (AB1207) and renew them every two years.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2023
LIC809 (FAS) - (06/04)
Page: 5 of 8


Document Has Been Signed on 02/01/2023 03:51 PM - It Cannot Be Edited

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: GANDI, RAMESWARI
FACILITY NUMBER: 013422968

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in that proof of negative tuberculosis (TB) tests missing for licensee’s husband, and adult nephew living in the home and also recently hired helper which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/01/2023
Plan of Correction
1
2
3
4
Licensee will have staff and family obtain TB tests or records. Going forward, all adults living in the home and facility staff shall have proof of a negative TB test, or an x-ray to confirm clear lungs.
Type B
Section Cited
CCR
102416.5(d)(1)
Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that on inspection licensee is out of ratio with 5 infants in care (one is 9 days away from 2nd birthday) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/01/2023
Plan of Correction
1
2
3
4
Licensee to have mother of most recently admitted child come and pick up her child so the facility will become in ratio. Going forward, licensee shall not operate out of ratio including not operate with more that than the allowed 4 infants.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2023
LIC809 (FAS) - (06/04)
Page: 6 of 8