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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700264
Report Date: 12/01/2021
Date Signed: 12/01/2021 10:13:15 AM

Document Has Been Signed on 12/01/2021 10:13 AM - 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:PAREKH, CHETNABENFACILITY NUMBER:
015700264
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
12/01/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chetna ParekhTIME COMPLETED:
10:17 AM
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On December 1, 2021 at approximately 8:45am Licensing Program Analyst (LPA) Haderer arrived for an unannounced case management visit for a capacity change inspection. Present in the home today was licensee Chetna Parekh, her fingerprint and TB cleared husband and two children in care (2 ½ year old toddlers). A third child arrived at 9:53am (also 2 years old), The facility is in ratio today. The hours of operation remain as 8:00am to 6:00pm.

All requested documents were received for the increase of capacity application. The fire clearance for a capacity of 14 was received from the Fremont Fire Department on 11/29/2021. The Licensee was reminded to abide by the conditions of the fire clearance, the garage is not approved for day care.

Ratios were discussed including proper ratio compliance in case an assistant is unavailable for a day and or does not come due to illness etc. The Licensee was reminded that whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home. The home was toured and inspected for health and safety, all on-limints and off limits areas remain as licensed.

The facility is a single story 3 bedroom, 2 bath home with an attached two-car garage. It is owned the licensee and contains a dining room, kitchen, living room, three bedrooms and two bathrooms, an enclosed (fenced) back and side yard areas and a separate courtyard area between the living room and one bedroom, and a small driveway area in the front of the home. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be dining room area outside of the day care area and away from the other children in care.

On-limit-areas include: Living room (day care area), kitchen, dining room, bedroom attached to the courtyard (for napping) and the main house bathroom, the courtyard area and locked back and side yards area.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2021
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: PAREKH, CHETNABEN
FACILITY NUMBER: 015700264
VISIT DATE: 12/01/2021
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Off-limit-areas include: Master bedroom with attached master bathroom, second bedroom next to the master bedroom, attached 2-car garage and driveway area of the front yard. The off-limit areas will be inaccessible by closed and/or locked doors, and/or by child supervision.

There is a fireplace in the living room that will be blocked with heavy furniture to prevent children’s access. Per licensee, there are no firearms in the home. The licensee owns the home.

Licensee has ample age-appropriate toys and learning materials. The home has a fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detectors (tested and functioning), and a working telephone. The licensee’s Health and Safety training is completed, and CPR and First Aid certificate is current and expires 01/25/2022. The licensee completed and received a certificate in mandated reporter training (verified AB1207), expires on 05/09/2023. The licensee is in compliance with the immunization laws which pertains to day care providers.



LPA discussed the safe sleep regulations with applicant 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 applicant 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.

This home is recommended for an increase of capacity as of today. This report will remain on file for 3 years. A review of operating safely during the Covid-19 pandemic (RAST) was conducted.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with the licensee Chetna Parekh
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC809 (FAS) - (06/04)
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