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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423406
Report Date: 11/02/2022
Date Signed: 11/02/2022 11:23:00 AM


Document Has Been Signed on 11/02/2022 11:23 AM - 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:SUBRAMANYAN, RANJANAFACILITY NUMBER:
013423406
ADMINISTRATOR:SUBRAMANJAN, RANJANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 262-6663
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:14CENSUS: 9DATE:
11/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Licensee, Ranjana SubramanyanTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee, Ranjana Subramanyan for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. The home is a 2-story home consists of a living room, family room, kitchen, garage, downstairs bathroom, 3 bedrooms, an upstairs bathroom, and a master bedroom with master bathroom. Licensee lives in the house with her husband, son and daughter. Present during this inspection was Licensee, her daughter, son and helper supervising 3 infants and 6 preschoolers. Licensee is within capacity limits of a Large License. The hours of operation are 8:00AM- 6:00PM, Monday -Friday

OFF LIMIT AREAS are the kitchen, entire second story, and garage which will be inaccessible by closed and/or locked doors and visual supervision.
ON LIMIT AREAS are the living room, family room, downstairs bathroom, and backyard.

LPA observed the following: Daycare Area is orderly and equipped with age appropriate toys and equipment for children, indoors and outdoors. 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 in the daycare. The Fireplace in the Daycare area is barricaded with the sofa. There are ample of age appropriate toys that appear to be safe and in good condition. There is a child safety gate located at the bottom of the stairs. LPA did not observe any hazardous materials or toxins accessible to children during today’s inspection. The napping room had cots in good condition and each child have their separate blankets. The blankets are washed weekly by the Parents. The outdoor play area is fenced. Licensee states there are no guns or weapons of any kind in the home.

Licensee and helper have valid CPR. The licensee and helper's mandated reporter training is complete and active. Licensee conducted last emergency drill on 08/10/2022 and is properly logged. Licensee provides daily snacks and meals. Discipline policy is redirection. LPA reviewed children’s files. All the files are complete and up to date. The Facility roster was reviewed and complete. The licensee checks and documents infant's sleep checks.

see next page...

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022
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 4


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: 11/02/2022
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Licensee and helper have valid CPR. The licensee and helpers mandated reporter training is complete and active. Licensee conducted last emergency drill on 08/10/2022 and is properly logged. Licensee provides daily snacks and meals. Discipline policy is redirection. LPA reviewed children’s files. All the files are complete and up to date. The Facility roster was reviewed and complete. The licensee checks and documents infant's sleep checks.

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.

No deficiency were cited today, however technical violations were provided.

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

Exit interview conducted and report was reviewed with the licensee, Ranjana Subramanyan

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC809 (FAS) - (06/04)
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