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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423406
Report Date: 12/14/2023
Date Signed: 12/14/2023 03:58:05 PM


Document Has Been Signed on 12/14/2023 03:58 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:SUBRAMANYAN, RANJANAFACILITY NUMBER:
013423406
ADMINISTRATOR:SUBRAMANJAN, RANJANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 262-6663
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:14CENSUS: 7DATE:
12/14/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Ranjana Subramanyan- LicenseeTIME COMPLETED:
04:10 PM
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On 12/14/23, Licensing Program Analyst Briana Plumboy, met with licensee Ranjana Subramanyan for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was daughter/ assistant Sruthi Subramanyan and 7 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 in the middle area 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 play structures present during today's inspection which are required to be anchored. Licensee is aware if toys are broken or not in the manufactures intended form, they must be restored to the manufactures intent, replaced, or removed from the childcare areas of the home. Licensee is aware at all times all equipment must be used following manufacture guidelines and Title 22 Regulations. There are no pools, hot tubs or any other bodies of water present in the on limit areas during today's inspection.
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 See 809-C for continuance
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023
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: SUBRAMANYAN, RANJANA
FACILITY NUMBER: 013423406
VISIT DATE: 12/14/2023
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Aid certificate is current and expires 8/27/25. The licensee's mandated reporter training is complete and she received a certification of completion on 8/27/23 and her daughter Sruthi Subramanyan received her certificate on 10/31/23. The licensee and daughter are 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 8/21/23. Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.



To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Family Child Care Homes Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or
See 809-C for continuance
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
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: SUBRAMANYAN, RANJANA
FACILITY NUMBER: 013423406
VISIT DATE: 12/14/2023
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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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
LPA discussed the safe sleep regulations with and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility.

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 NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC809 (FAS) - (06/04)
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