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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406011
Report Date: 10/17/2022
Date Signed: 10/17/2022 10:58:03 AM


Document Has Been Signed on 10/17/2022 10:58 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, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:ALIYAR, PARIFACILITY NUMBER:
073406011
ADMINISTRATOR:AFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 945-0869
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:14CENSUS: 5DATE:
10/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Pari AliyarTIME COMPLETED:
11:15 AM
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On 10/17/22 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Annual Inspection at Pari Aliyar's Family Child Care Home. LPA met with Helper, Parastoo Jamshidi who stated Licensee, Pari Aliyar was not present in the home and had left for an scheduled appointment. LPA explained the purpose of today’s inspection and was granted permission to enter the facility. Present in the home were Helper and 5 day care children (3 infants, 2 preschool age). Facility is in compliance with required ratios today. Days and hours of operation are Monday - Friday from 7:30 am-5:00 pm

Entrance to the day care is through the side gate from the front. LPA toured the INDOOR spaces of the home.
In Use Areas: Playroom located in the backside of the home
Off Limit Areas: Rest of the home.
LPA observed sufficient materials, toys, and play equipment for the day care children in the home. Children were engaged in various activities under the supervision of the Helper. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. Furniture and equipment, such as cribs, mats, feeding chairs, and tables were age appropriate and in good condition. There were no baby walkers, jumpers or bouncers observed on the premise during today’s inspection. The area is sanitary, orderly, and safe for the day care children. LPA did not observe any wall heaters in the home. There is no fireplace or stairs inside the play area. The Licensee has a working telephone in the home. Licensee, Pari arrived 15 minutes later.

LPA observed a fully charged fire extinguisher and working smoke / carbon monoxide detectors. There is a pet dog who stays in the off limit part of the home. LPA reviewed a current Children Roster, Emergency Disaster Plan LIC610A. Last fire/disaster drill was completed in July 2022. The Licensee states that she does not transport children. She supplies snacks and meals to the children. Food storage area was observed to be clean. Child care home appeared to be free of flies, other insects, and rodents during today’s inspection.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2022
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ALIYAR, PARI
FACILITY NUMBER: 073406011
VISIT DATE: 10/17/2022
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OUTDOOR space was inspected. The side yard is used for children and fenced off from rest of the yard. Play equipment were observed to be maintained in safe condition and free of hazards. The yard was fenced and there were no bodies of water. FILE REVIEW: Children, Licensee, Helper files reviewed, contained all required documents. CPR/First Aid is current. 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.

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

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.

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.

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.

In the areas that were evaluated, no regulatory violations were observed. Technical assistance was provided. Exit interview conducted and report was reviewed with the Licensee, Pari Aliyar. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC809 (FAS) - (06/04)
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