073406817-2-20-2020-52-CC-JCHN-BLYRFT-20200220115939

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406817
Report Date: 02/20/2020
Date Signed: 02/20/2020 11:59:44 AM

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:	SHARMA, KUMUDINI & RAJESH		FACILITY NUMBER:	073406817
ADMINISTRATOR:	SHARMA, KUMUDINI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 676-4966
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY:	14	CENSUS: 13	DATE:	02/20/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Kumudini & Rajesh Sharma		TIME COMPLETED:	12:16 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 2/20/2020 at 9:48AM, Licensing Program Analyst (LPA) Junell Chen arrived for an unannounced Annual/Random Inspection, and met with Licensees Kumudini and Rajesh Sharma. Present were three infants and ten preschoolers in care today. Also present during the inspection was fingerprint cleared assistant Shiv Sahota. The home was toured with the licensees to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday 8AM-6PM. ON LIMITS: The family room to the immediate left upon entering home, living room, kitchen, dining room, bathroom, and fenced backyard. OFF LIMITS: The entire upstairs of the home and garage. The home is a two story home, which are neat and clean, with heating and ventilation for safety and comfort. The isolation area will be in the living room. There exists a fenced backyard for outdoor play. There were ample age appropriate toys that were observed to be safe and in good condition. Toxins, medicines, and hazardous items were inaccessible during today's inspection. A fully charged 3A40BC fire extinguisher, smoke and carbon monoxide detectors exist at the facility and meet State Fire Marshall standards. The fireplace is screened to prevent access by children. There exists a First Aid kit readily available. Per licensee, there exists central heating and heater vents are not hot to touch. Per licensee, there no firearms in the home. There is a pet dog in the home. Per licensee, there exists a working telephone number designated for the facility. All required licensing documents are posted and visible for public review. Mandated Reporter training was completed on 8/13/2018 for Kumudini and Rajesh Sharma. Licensees presented proof of immunization records as required by licensing. Safe Sleep practices were discussed. Licensee was reminded that children are never to be left in a parked vehicle. *See LIC 809C for Continuance*

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Junell Chen	TELEPHONE: (510) 622-4035
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: SHARMA, KUMUDINI & RAJESH	FACILITY NUMBER: 073406817
	VISIT DATE: 02/20/2020

NARRATIVE

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During the time of inspection, 15 children's files and 1 staff file were reviewed. The facility file was reviewed. The facility roster was presented and a copy obtained. The Licensee is in ratio today. The licensees' Pediatric CPR/First Aid certificate is current and expires 8/11/2020 for Kumudini Sharma and 2/23/2020 for Rajesh Sharma. Last disaster drill was logged on 1/8/2020.

Individual Medical Services (IMS) policy was discussed. 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 is 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. 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.

There were no deficiencies being cited today. There is a Technical Violation noted during today's inspection. See LIC 9012 for the Technical Violation listed.

This report shall remain on file for 3 years. A Notice of Site visit was given at time of inspection and requested Licensee to post the Notice in an unobstructed, viewable area for 30 days. Exit interview conducted with Licensee Kumudini Sharma. Copy of report and appeal rights provided.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Junell Chen	TELEPHONE: (510) 622-4035
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC809 (FAS) - (06/04)

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