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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423027
Report Date: 01/28/2020
Date Signed: 01/28/2020 03:38:25 PM

COMPREHENSIVE INSPECTION
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:KAUR, RAMANDEEPFACILITY NUMBER:
013423027
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 8DATE:
01/28/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ramandeep KaurTIME COMPLETED:
03:48 PM
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Licensing Program Analysts (LPAs) Melanie Otsuji and Jonathan Williams arrived to the facility unannounced to conduct a Required 1 Year inspection and to determine if the facility is ready for an increase in capacity. LPA was met by Licensee Ramandeep Kaur, and 8 children (2 school age children, and 6 preschoolers).

The home was toured for a Health and Safety Inspection. The home is a single family two story home. The ON LIMITS areas are: the den, family room, kitchen, bathroom #1 (downstairs), garage, backyard. The OFF LIMITS areas are: the laundry room and entire second floor (3 bedrooms/2 bathrooms). There are no firearms on the premises as stated by the applicant. LPA verified that the home phone is in working condition. The home is properly ventilated for children's safety and comfort. There are appropriate toys and kids furniture that are safe to use and appeared to be well maintained. The applicant has completed the required training of preventive health practices including pediatric CPR and First Aid which expires on 02/14/2020. LPAs reviewed the facility file and all children files of children currently enrolled. Licensee's operating hours are Monday - Friday 8:00am- 6:00pm. Incidental Medical Services (IMS) policy was discussed. 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

The fire clearance for the increase in capacity was approved on 01/22/2020.

No deficiencies are being cited. This home is recommended for the capacity increase as of today's date 1/28/2020. This report shall remain on file for 3 years. Exit interview conducted with licensee. Notice of Site Visit provided and must be posted for 30 days.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
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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