015700131-4-6-2022-52-CC-KPHN-CD8UKZ-20220406153959

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700131
Report Date: 04/06/2022
Date Signed: 04/06/2022 03:40:09 PM

Document Has Been Signed on 04/06/2022 03:40 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	JOSHI, NIDHI		FACILITY NUMBER:	015700131
ADMINISTRATOR:	JOSHI, NIDHI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 301-1285
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	14	CENSUS: 6	DATE:	04/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Nidhi Joshi		TIME COMPLETED:	03:45 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 04/06/2022 approximately at 1:30PM, Licensing Program Analyst (LPA) Kelly Phan arrived at for an unannounced required inspection, and met with Licensee Nidhi Joshi. Present for this inspection was five preschool aged children with one of her own children who is 8 years old along with one fingerprinted and associated volunteer. Also residing in the home is the licensee's fingerprinted husband and two other fingerprinted and associated family members. The licensee has two children of her own between the ages of 8 and 14 years old. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday, 8:30am to 6:00pm. ON LIMITS: bathroom #1, full backyard, main day care room, bedroom #1 (used for isolation), half of the kitchen area OFF LIMITS: garage, other half of kitchen, bedroom #2 (master bedroom), bathroom #2 (master bathroom) Off limit areas are inaccessible by closed and/or locked doors, gates, and full visual supervision. The home is single story, which is neat and clean, with heating and ventilation for safety and comfort. A child safety gate is used as the Licensee is using a gate to keep children in main day care area. There were ample age appropriate toys that were observed to be safe and in good condition. There were a fully charged 3A40BC fire extinguisher, working carbon monoxide, smoke detectors, and telephone. The home does not have a fireplace. Per licensee, there are no firearms or pets or any bodies of water in the home. The licensee has not conducted nor documents fire drill log. LPA suggests licensee to start conducting and documenting a drill once every six months and send a copy of completion to LPA by 4/15/2022. All required licensing documents are posted and visible for public review. At 1:50pm, 6 children's files were reviewed and found to be complete. The facility roster was reviewed, and a copy obtained. The licensee is in ratio today. SEE LIC 809 C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022

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: 04/06/2022

NARRATIVE

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Licensee has proof of the required immunization. The licensee has required mandated reporter training that is completed as of 04/24/2020; LPA informs licensee to send proof of completion of mandated reporter training for her volunteer by 4/15/2022 . CPR and First Aid training are also valid until 08/07/2023.
At 2:20PM, LPA toured the outdoor area, which is safe and in good condition. Licensee is reminded to have full visual supervision as the side area of the backyard is used for outdoor activities. At 2:30PM, LPA and licensee toured the bathroom across from bedroom #1 (used for isolation area); the bathroom has good amount of paper supplies and does not have any hazardous items during today's inspection. Licensee informs LPA that she recently got her large license and is still posting advertisements for newly enrolled children; she only has six children enrolled at her facility as of today.

There were no deficiencies were cited for today's inspection
Appeal rights and a notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00. Exit interview conducted and report was reviewed with licensee Nidhi Joshi

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.

SEE LIC 809-C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022

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: 04/06/2022

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Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. The facility is following and have developed IMS plan on file. When any changes to the IMS plan is made, an updated 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.”

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.

Licensee was reminded that California Law requires licensed Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the Facility Representative that all forms can be downloaded at www.ccld.ca.gov and encouraged the Facility Representative to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. Licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting 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/process.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022

LIC809 (FAS) - (06/04)

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