434411697-9-23-2019-07-CC-MMAR-BGAS2M-20190923132945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434411697
Report Date: 09/23/2019
Date Signed: 09/23/2019 01:29:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	AGGARWAL, AARTI		FACILITY NUMBER:	434411697
ADMINISTRATOR:	AGGARWAL, AARTI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 532-6768
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95148
CAPACITY:	14	CENSUS: 1	DATE:	09/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Aarti Aggarwal		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	On 09/23/19 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Annual/Random Inspection at Aarti Aggarwal's Family Day Care Home. LPA met with Licensee, Aarti and explained the purpose of today’s inspection. Present in the home were Licensee, Assistant Helper and 1 day care child (preschool age). Assistant Helper who helps out only for an hour daily, was present with her preschool age daughter, but both left after 30 minutes. Facility is in compliance with required ratios today. Child were engaged in various activities under the supervision of the Licensee. Days and hours of operation are Monday - Friday from 5:30 AM to 6:00 PM. Licensee states currently she only has enrolled school age and preschool age children. Adults over the age of 18 and residing in the home are the Licensee, Licensee's spouse, and one daughter. Licensee has a second daughter living in the home who is 12 years old. All adults have Criminal Background Check Clearances, TB clearance and signed Criminal Record Statements LIC 508 on file with Licensing Office. LPA toured the indoor and outdoor areas of the home during today's inspection: INDOOR SPACE: In Use Areas: Living Room, Kitchen, Family Room, Bathroom #1, Garage Off Limit Areas: Master bedroom, Guest rooms #1, 2, Bathroom #2. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children in the home. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. Furniture and equipment, such as feeding chairs, and tables were age appropriate and in good condition. There were no baby walkers or bouncers observed on the premise during today’s inspection. The home is clean, orderly, and safe for the day care children. LPA did not observe any wall heaters in the home. There is a screened fireplace in the Family Room. There are no stairs inside the home. OUTDOOR SPACE: In Use Areas: Fenced yard on the left side of the backyard. Off Limit Areas: Left side yard, Hot tub, 2 storage closets, Dog run area. Licensee states she escorts the children into the backyard accessible through the Garage and Right Side yard. LPA observed Garage and Side Yard are safe for children. The outdoor space and play equipment were observed to be maintained in safe condition and free of hazards. Heavy structure was secured to the ground. The yard was fenced. The hot tub is up a flight of steps, was observed to be locked and covered. There is a water fountain which is located on higher level and inaccessible to children. Continued on Page 2. report dated 09/23/19

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AGGARWAL, AARTI	FACILITY NUMBER: 434411697
	VISIT DATE: 09/23/2019

NARRATIVE

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There is an active waiver for a fire pit in the backyard, but Licensee states the fire pit was covered and removed from the back yard in July 2019. LPA observed the area that used to be an open fire pit in the back yard is leveled and filled with concrete. A waiver is no longer required for an open fire pit.
LPA observed a fully charged 3A40BC fire extinguisher in Living Room and working smoke / carbon monoxide detectors. The Licensee states that she does not have any weapons. Licensee has 2 dogs in the home. LPA reviewed a current Children Roster and Fire/Disaster Drill Log during today's inspection. Last fire/disaster drill was completed on April 2019. All required postings including but not limited to Parent Rights Poster, Facility License, Emergency Disaster Plan were observed posted on a wall in the Living room area. The Licensee states that she does transport children in her vehicle to pick up School Age children from their schools between 1:30 - 3:30 PM. She understands that children cannot be left alone in parked vehicles. Licensee states that she supplies snacks and meals to the children. Food storage area was observed to be clean and child cups, bowls and bottles were labeled with child’s name. LPA discussed Healthy Beverages Act with the Licensee. Day care home appeared to be free of flies, other insects, and rodents during today’s inspection.
FILE REVIEW:
All Children's files were reviewed and contained all required Licensing forms and records including but not limited to Receipt for Parents' Rights, Immunization record, Identification & Emergency Information, Consent for Medical Treatment, Parent Notification for Additional Children in Care, Health History.
Licensee and Assistant files contained Criminal Record and Child Abuse Index Clearance, TB clearance, Statement Acknowledging Requirement to Report Suspected Child Abuse, Employee Rights, Immunizations for Measles, Pertussis, Flu and required Mandated Reporter Training per AB1207. Licensee's certifications for CPR and First Aid are current and expire on 08/2020.
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. The Licensee understands her capacity options and that she cannot have more than 14 children in the home at any time with at least two qualified adults present. Licensee also understands that she must comply with the ratio and capacity requirements of the Small Family Child Care Home license whenever she or a qualified adult is alone with the children.
Continued on Page 3. Report dated 09/23/19.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AGGARWAL, AARTI	FACILITY NUMBER: 434411697
	VISIT DATE: 09/23/2019

NARRATIVE

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LPA reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who comes in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12-month period.

Incidental Medical Services (IMS) policy was discussed. The Licensee stated that she currently does not have any children in care who requires IMS. 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.

Beginning January 1, 2019 AB 2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA provided a copy of the “Lead Poisoning Facts Information Flyer” to the facility.

Website links for free subscription to Quarterly Updates Newsletter:
http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates
or
Send email to: childcareadvocatesprogram@dss.ca.gov

Licensee agreed to send to CCLD a copy of the following updated documents
- Facility Sketch LIC999A updating indoor and outdoor layout

In the areas that were evaluated, no regulatory violations were observed. Exit Interview was conducted, where this report was reviewed and discussed with Licensee. Licensee signed the report acknowledging receipt of documents.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED NEAR THE FRONT ENTRANCE TO THE HOME FOR 30 CONSECUTIVE DAYS.

END OF REPORT

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

LIC809 (FAS) - (06/04)

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