013423406-10-6-2021-52-CC-BPLY-C7JP6Z-20211006110309

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423406
Report Date: 10/06/2021
Date Signed: 10/06/2021 11:04:54 AM

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:	SUBRAMANYAN, RANJANA		FACILITY NUMBER:	013423406
ADMINISTRATOR:	SUBRAMANJAN, RANJANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 262-6663
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	14	CENSUS: 8	DATE:	10/06/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:04 AM
MET WITH:	Ranjana Subramanyan		TIME COMPLETED:	11:15 AM

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 10/6/21 at 9:04am, Licensing Program Analyst Briana Plumboy, met with licensee Ranjana Subramanyan for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was licensees teenage daughter who is her associated , a behavioral therapist, 3 infants, and 5 preschool age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates Monday through Friday from 8:00am until 6:30pm. The home is a 2 story home with a child safety gate located at the bottom of the stairs. The home consists of a living room, family room, kitchen, garage, downstairs bathroom, 3 bedrooms, an upstairs bathroom, and a master bedroom with master bathroom. The on limit areas have heating and ventilation for safety and comfort. The drawers in the kitchen and downstairs bathroom have child safety latches on them during today's inspection. The OFF LIMIT AREAS are the kitchen, stairs, entire second story, and garage which will be inaccessible by closed and/or locked doors and visual supervision. Per the fire clearance the kitchen is OFF LIMITS ALWAYS to children in care. The ON LIMIT AREAS are the living room, family room, downstairs bathroom, and the left side of the backyard. The ISOLATION AREA will be the family room. Outdoor play area will be on the left side of the backyard. There are two sheds located inside the backyard and a gate is located between them to prevent access to the right side of the backyard. The BACKYARD play area is fenced. There are toys and learning materials present at the facility during today's inspection. There are no pools, hot tubs or any other bodies of water present in the on limit areas during today's inspection. All hazardous materials and toxins are kept out of the reach of children and it was observed that during the inspection there are no toxins or hazardous items accessible to children in care. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The licensee's CPR and First Aid certificate is current and expires 8/31/23. The licensee's mandated reporter training is complete and she received a certification of completion on 1/14/20. The licensee is in compliance with the immunization law. The fireplace is located inside the family room and is screened and barricaded during today's inspection to prevent access by children. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 8/12/21. (4) Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. The licensee checks and documents infant's sleep checks. All REQUIRED forms are posted and visible for public review. See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

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: SUBRAMANYAN, RANJANA	FACILITY NUMBER: 013423406
	VISIT DATE: 10/06/2021

NARRATIVE

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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

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

LPA discussed the safe sleep regulations with licensee Ranjana Subramanyan 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 Ranjana Subramanyan 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.

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

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Ranjana Subramanyan.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

LIC809 (FAS) - (06/04)

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