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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423469
Report Date: 02/27/2020
Date Signed: 02/27/2020 05:18:02 PM

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:MAKKAR, ANURADHAFACILITY NUMBER:
013423469
ADMINISTRATOR:ANURADHA MAKKARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 480-3862
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:14CENSUS: 6DATE:
02/27/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Inderjit Makkar & Anuradha MakkarTIME COMPLETED:
05:30 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 2-27-2020 at approximately 2:30 PM, Licensing Program Analyst (LPA) Renee Reed and Licensing Program Manager (LPM) Chandra Charles conducted an UNANNOUNCED RANDOM ANNUAL INSPECTION . LPA AND LPM met with Licensee fingerprint cleared husband Inderjit Makkar. Licensee was not at the home upon initial arrival due to a medical appointment. Present during the site inspection was the family cook and six preschool children. During course of inspection Licensee arrived.

The Licensee's home is a two story home, which includes 4 bedrooms, 5 bathrooms, living room, dining room, nook, kitchen, with attached garage.

OFF LIMITS AREAS: Entire 2nd level of the home, backyard and the garage. These areas are inaccessible by, a barrier gate at the bottom of the staircase, closed and or locked doors and visual supervision

ON LIMIT AREA: The entire 1st. floor which consist of : the living room, dining room, kitchen nook area, first floor bedroom, bathroom near the bedroom, and the bathroom near the kitchen area. There is a fireplace in the family room which is screened to prevent access by children in care.

ISOLATION AREA: is the family room

There are multiple smoke detectors, carbon monoxide detectors and a pull down fire alarm device present and working. LPA, Reed did not have the smoke & carbon monoxide detectors tested due to the fact the day-care children were napping. The facility has a fully charged 2A10BC fire extinguisher. There are age appropriate furnishings, toys and equipment in the day care room. The bathroom has working toilet and faucet in new condition. Per licensee, there are no firearms located or stored on the premises. The facility has a fully fenced back yard area which is off limits to children in care. There are no pools, hot tubs or other accessible bodies of water on the premises. Hazardous items/cleaning supplies are stored inaccessible to children in care.

See 809-C
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Renee ReedTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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 3
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: MAKKAR, ANURADHA
FACILITY NUMBER: 013423469
VISIT DATE: 02/27/2020
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
CHILDREN'S FILES: At 3:30 PM 3 children files were reviewed, LIC 700, LIC 627, LIC 282, & LIC 995, LIC 613A, were in all 3 files reviewed, however PM 286 (Immunization form) was missing from all three files.

Licensee CPR and First Aid has expired, during inspection Licensee contacted Adams Safety training and has signed up to take CPR and First Aid on March, 14, 2020. Mandated Reporter Training was taken 05/10/2018 and will be due for renewal on 05/10/2020.

LPA reminded the licensee of the following; Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. LPA discussed Unusual Incidents Reports.

The licensee is reminded any structural changes to the home or additions to the child care facility must be reported to Community Care Licensing.



The licensee was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, 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. The licensee was reminded of the responsibility as a mandated reporter.

For licensing information and forms, licensee is encouraged to visit www.ccld.ca.gov. To sign up for updates, contact childcareadvocatesprogram@dss.ca.gov.

Individual Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.

See 809-D for deficiencies, A notice of site visit was given, Licensee was reminded that it is required to be posted for 30 days. Exit interview conducted and appeal rights provided.

This report shall remain on file for 3 years.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Renee ReedTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: MAKKAR, ANURADHA
FACILITY NUMBER: 013423469
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2020
Section Cited

1
2
3
4
5
6
7
102416 Personnel Requirements- The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866
8
9
10
11
12
13
14
This requirement was not met as evidenced by: based on LPA's reviewed of licensee's CPR card which expired on 08/05/2019. This poses a potential Health and Safety risk to children in care.
8
9
10
11
12
13
14
Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are $250.00 per violation and $100.00 per day until corrected.
Type B
03/27/2020
Section Cited

1
2
3
4
5
6
7
102418 - Immunization. Licensee shall document and maintain each child’s file immunizations as long as the child is enrolled. This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.
8
9
10
11
12
13
14
This requirement is not met as evidenced by:
Based on observation, C1, C2, & C3's files did not contain a completed Immunization Record and card, which poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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: Renee ReedTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3