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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423580
Report Date: 06/22/2020
Date Signed: 06/22/2020 02:36:25 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ALPEROWITZ, CHAYAFACILITY NUMBER:
013423580
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
06/22/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Chaya AlperowitzTIME COMPLETED:
02:55 PM
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On 06/22/2020 at 1:45PM Licensing Program Analyst (LPA) Arminder Singh conducted an announced Case Management-Licensee Initiated capacity increase inspection with Licensee, Chaya Alperowitz via Zoom Meeting. Licensee has requested CAPACITY INCREASE from Small to a Large family home. The Licensee has recently obtained an approved fire clearance from the local fire authority. Present in the home was Licensee, her Husband and her own 4 children [1 infant, 3 preschool age]. Facility is in compliance with required ratios today. Days and hours of operation will be Monday through Friday from 8:00 AM - 5:00 PM. Applicant has current Pediatric cardiopulmonary resuscitation (CPR) and First Aid (expires 07/2020).

All required postings were observed and complete.
There are no changes in the home since last inspection conducted on 04/28/2020. Licensee has secured fireplace and entrance of kitchen with a gate.

OFF LIMIT AREAS: Bedrooms #1-3, Garage, Bathroom located in Master Bedroom, Bathroom located near Bedroom#3, and locked Storage Shed on right side yard.

SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2020
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 2
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ALPEROWITZ, CHAYA
FACILITY NUMBER: 013423580
VISIT DATE: 06/22/2020
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LPA reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who comes in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12-month period.

At 02:30 PM Supervision of children was discussed with the Licensee and she understands that she must be present in the home during 80% of the operating hours of the day care and ensure that the children are supervised at all times. The Licensee understands her ratio and capacity options and that she cannot have more than 14 children in the home at any time. Licensee also understands that she must comply with the ratio and capacity requirements of the Small Family Child Care Home license whenever she or a qualified adult is alone with the children. The Licensee states that she does not transport children.

Website links for provider resources: http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates

or send email to: childcareadvocatesprogram@dss.ca.gov

At 02:35 PM this report was reviewed with Licensee who signed it acknowledging receipt of documents. Based on today's inspection, the family day care home’s request for capacity increase from 8 to 14 is APPROVED effective 06/22/2020.
A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED NEAR THE FRONT ENTRANCE TO THE HOME FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2020
LIC809 (FAS) - (06/04)
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