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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413391
Report Date: 03/06/2020
Date Signed: 03/06/2020 10:18:25 AM

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:PUROHIT, BINDUFACILITY NUMBER:
434413391
ADMINISTRATOR:PUROHIT, BINDUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 228-2344
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:14CENSUS: 2DATE:
03/06/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Purohit, BinduTIME COMPLETED:
10:31 AM
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Licensing Program Analyst (LPA) Almaraz, Araceli conducted a one year required inspection. LPA Almaraz met with Licensee, Purohit, Bindu and explained the nature of today's inspection. Present during the inspection was the licensee, Pandit, Heenaben assistant and mother-in-law Purohit, Hasumti. There were two children present, including two infants. The hours of operation of the day-care are 8:30AM to 6PM, Monday through Friday. There are five adults residing in the home; Licensee, spouse Purohit, Pinakin, mother-in-law Purohit, mother, Metha, Jyostnaben, and daughter Purohit, Nehal. There is one minor 17 year old living in the home. Licensee has been advised of the finger printing requirements; upon turning 18 and residing in the home.

Physical Plant: LPA Almaraz inspected the indoor and outdoor areas of the home today. Off limit areas in the home are as follows; Master bedroom/bathroom, one bedroom and laundry room/garage. Off limit areas outside the home are as follows: Right side of the yard. The front yard is safety compliant and backyard is fully fenced. Licensee Purohit states that there are no weapons in the home. LPA did not observe any bodies of water inside or outside the home. Medication, cleaning products and similar items are stored inaccessible to children. Poisons are locked. Licensee has no pets. LPA observed a working smoke/carbon monoxide detector and a 3A40BC fire extinguisher. LPA did not observe any heaters in the home. LPA observed a there is no fireplace in the home.
Facility Records- LPA Almaraz observed that Licensee Purohit and assistant have record of MMR & Tdap vaccinations as well as the flu vaccine. LPA observed a current roster, a current fire disaster/earthquake drills last log 12/09/2019. Licensee has day care insurance. 1/2
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli AlmarazTELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: PUROHIT, BINDU
FACILITY NUMBER: 434413391
VISIT DATE: 03/06/2020
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Licensee Purohit completed Mandated Reporter Training on 01/25/2019, assistant on 01/26/2019, licensee understands training is to be completed every two years. Licensee has CPR and First Aid, which has an expiration date of 07/18/2021. LPA Almaraz reviewed two children's files and observed current and updated immunization records and the Family Child Care Home Notification of Parents' Rights forms (LIC 995A) in each file.
Supervision of the children was discussed; Licensee Purohit understands the following: A cleared adult must be present in the home during day care hours. Children must be supervised at all times. The capacity options and ratio requirements. Not to leave children in the car unattended. The Licensee states that there is no transporting of children currently.

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

A review of staff records on 03/05/2020 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Website for provider resources: http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates There are no deficiencies during today’s inspection.


LPA Almaraz conducted an exit interview with the Licensee Purohit advised the licensee of the pending Department regulation update re: safe sleep for infant children. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information. LPA discussed the requirements of AB633 to Licensee.
NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED FOR 30 DAYS. 2/2
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli AlmarazTELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2