434412647-7-31-2023-07-CC-FRAA-CUA6SX-20230731210439

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434412647
Report Date: 07/31/2023
Date Signed: 07/31/2023 09:05:08 PM

Document Has Been Signed on 07/31/2023 09:05 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	DHARAMANA, SOBHARANI		FACILITY NUMBER:	434412647
ADMINISTRATOR:	DHARAMANA, SOBHARANI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 532-0465
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95135
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	07/31/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Sobharani Dharamana		TIME COMPLETED:	02:30 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 07/31/2023, Licensing Program Analyst (LPA), Farida Raja, conducted an unannounced 1- year annual inspection. LPA was granted access to the home by Licensee, Sobha Rani Dharamana and explained the nature of today’s inspection. There were no daycare children present during today's inspection and Licensee stated that she has not been caring for children since March 2020 and will start enrolling children again beginning January 2024. Licensee stated that she had her home renovated. LPA asked Licensee to submit an updated Facility Sketch and stated that she would require a new Fire Clearance before she enrolled children. Licensee stated that she will submit the updated sketch and a Fire Safety Inspection Request form by August 14, 2023. Licensee will also submit an updated Emergency Disaster Plan for Family Child Care Homes (LIC 610A) along with relocation permission letters. Licensee stated that days and hours of operation will remain Monday to Friday, 8:00 am to 6:00 pm. Licensee states that she will mostly cares for school-age children from 2-6pm and full days on school holidays and summer break. The adults that reside in the home are Licensee and spouse. A review of records indicates that all individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA toured the indoor and outdoor areas of the home during today's inspection. LPA reminded licensee that all required posted materials should be in an area visible to parents. Licensee has a working telephone in the home (408-368-5115). The home has central heating/cooling and ventilation for comfort of children. The home is two story and LPA reminded licensee that all stairs need to be barricaded if licensee is providing care to children under 5 years old. Licensee stated that the off limit areas inside the home will be one bathroom next to the stairs, one bedroom, kitchen, laundry room, attached garage and the entire second level. LPA observed a glass screened fireplace in the family room of the home. Backyard is fenced and both sides of the home are gated. LPA reminded licensee that she cannot have any accessible bodies of water, garden chemicals or tools in the in-use areas of the backyard. There were no bodies of water observed. Continued on page 2

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2023

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

FACILITY NAME: DHARAMANA, SOBHARANI	FACILITY NUMBER: 434412647
	VISIT DATE: 07/31/2023

NARRATIVE

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LPA observed that the bathroom used by children was in operating condition. Toilets and faucet are clean and operable. The shower area is free of any hazards.

Licensee stated that she will purchase a new fire extinguisher before accepting children in care. LPA observed working smoke/carbon monoxide detectors. Licensee states that she does not have any weapons or pets in the home. All detergents, cleaning compounds, poisons, medications, sharp objects and other similar items were observed to be stored inaccessible to children. Licensee understands that smoking is prohibited in the home.

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. LPA provided licensee with a copy a sample 15- minute sleeping infant check form for children under 2 years of age. Licensee stated that she does not plan to care for children under 2 years of age and since she cares for only school- age children she does not have any nap equipment.

LPA reviewed licensee's file for the required forms. Licensee has current Pediatric CPR/First Aid certification which expires on 06/04/2024. Licensee has required immunization in file for measles and pertussis. Licensee does not have a current Mandated Reporter Training and LPA reminded licensee that the training is mandatory to all Licensees and adults in the home in contact will children and requires renewal every two years. LPA referred the Licensee to the training website: www.mandatedreporterca.com for additional information on the online training. Licensee will need to complete the Mandated Reporter Training before accepting children in care. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2023

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

FACILITY NAME: DHARAMANA, SOBHARANI	FACILITY NUMBER: 434412647
	VISIT DATE: 07/31/2023

NARRATIVE

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Supervision of children was discussed with Licensee, and she understands that she or a qualified adult must be present in the home during day care hours and ensure that the children are supervised at all times. The Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time and a qualified assistant must be present. Licensee understands in absence of a helper her license capacity is reduced to 8 and ratio (age of the children) must be observed.

Licensee is encouraged to visit the Department’s website at https://cdss.ca.gov/inforesources/child-care-licensing to access general updates, resources for providers, regulations, adoptions of new laws, pay annual fees etc.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensees states that she does transport children. LPA reminded Licensee that children cannot be left in parked vehicles unattended at any time, the motor vehicles used to transport children shall be maintained in safe operating conditions, and all vehicle occupants must be secured in an appropriate restraint system.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

As a result of today's inspection, there were no deficiencies cited. Exit interview conducted and report was reviewed with licensee, Sobha Rani Dharamana. During the exit interview, licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2023

LIC809 (FAS) - (06/04)

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