015700131-5-13-2020-52-CC-SKAR-BPKUC6-20200513152724

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700131
Report Date: 05/13/2020
Date Signed: 05/13/2020 03:28:14 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:	JOSHI, NIDHI		FACILITY NUMBER:	015700131
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	05/13/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:36 AM
MET WITH:	Nidhi Joshi		TIME COMPLETED:	01:30 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	Due to the COVID-19 Shelter-in-place order by the Governor of California, this pre-licensing inspection was conducted via tele-visit through Face Time. Licensing Program Analyst (LPA) Simerjit Kaur conducted a Pre Licensing inspection and met with Nidhi Joshi. The home was toured to conduct a Health and Safety Inspection. The hours of operation are Monday through Friday from 8:00AM to 6:30PM. This is a single story home with 1 master bedroom/bathroom, 2 bedrooms, 1 bathroom, living room, day care room, kitchen, garage and backyard. The home was inspected for safety, comfort, cleanliness, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The areas that are accessible (on limit) to children are living room, day care room, bedroom located on the right side of the hallway, bathroom located left side of the hallway, and backyard. The outdoor play area has storage shed, blue shed to use for children play time, roses and flower bushes is covered with green barrier fence. There are ample age appropriate toys that are safe and appeared to be clean. The areas that are inaccessible (off limit) to children are 1 master bedroom/bathroom located left side of the hallway, 1 bedroom located at the end of hallway, garage, which will be inaccessible by closed and/or locked doors and visual supervision. The Isolation area for sick children will be bedroom located on the right side of the hallway. See 809-C for continuance

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

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: JOSHI, NIDHI	FACILITY NUMBER: 015700131
	VISIT DATE: 05/13/2020

NARRATIVE

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There are no pools, hot tubs or any other bodies of water on the premises today. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible today.

Applicant's Health and Safety Training is completed and CPR and First Aid certificate is current and expires on 7/21/2021. The applicant is in compliance with new immunization law which pertains to day care providers. The applicant is in compliance with the Mandated Reporter Training course requirement. Per applicant, there are no firearms in the home. A copy of the grant deed was reviewed and shows control of property. The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The home has secured child safety outlet covers.

Posting broad is in the day care room for required postings. A packet of forms were emailed to applicant and LPA reviewed with applicant during the inspection.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

The applicant 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 applicant was reminded of the responsibility as a mandated reporter.
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SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

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: JOSHI, NIDHI	FACILITY NUMBER: 015700131
	VISIT DATE: 05/13/2020

NARRATIVE

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Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. Safe sleep practices were discussed with licensee, and information was provided. Applicant is reminded sacuer chairs, bouncers, jumpers and such items are prohibited in the facility.
The applicant is reminded any structural changes to the home or additions to the child care facility must be reported to Community Care Licensing.

This home is recommended for license effective today, 05/13/2020. Applicant was advised that she may only provide care for children of essential workers during the shelter-in-place orders due to COVID-19.

Exit interview conducted and copy of report emailed. Applicant shall return the signed report to LPA and the report shall remain for 3 years.

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SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

LIC809 (FAS) - (06/04)

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