434413722-2-26-2020-07-CC-FCJO-BM6S25-20200226122859

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434413722
Report Date: 02/26/2020
Date Signed: 02/26/2020 12:29:04 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:	SANDHU, SUKHDEEP		FACILITY NUMBER:	434413722
ADMINISTRATOR:	SANDHU, SUKHDEEP		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 702-5700
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95148
CAPACITY:	14	CENSUS: 9	DATE:	02/26/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Sukhdeep Sandhu		TIME COMPLETED:	12:40 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	Licensing Program Analysts (LPA) Fermin Campos-Jaramillo conducted an unannounced one year required inspection to the home today. LPA met with Sukhdeep Sandhu, Licensee, and explained the nature of today's inspection to her. LPA observed nine children were in care today, including five preschool age and four infants. Licensee's husband Jagvinder also was in the home. Days and hours of operation are Monday to Friday from 7:00 AM to 6:30 PM. Licensee stated the adults that reside in the home are the Licensee, her husband Jagvinder, and her mother Kashmir. Also in the home reside licensee's minor children ages 9 and 6. LPA observed that helping with the day care children were licensee's helpers Neelam and Andrea. Licensee's, Licensee's husband, LIcensee's helpers have current certifications for CPR and First Aid expiring on 9/18/2020 and 7/13/2021 respectively. LPA toured the indoor and outdoor areas of the home during today's visit. LPA obtained a copy of the children's roster and Licensee stated it is current. LPA reviewed the Fire/Disaster drill log during today's visit. The last fire drill was documented on 2/20/2020. LPA reviewed nine children files and they are complete including the parent's right form and the immunization records form. Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. The home is clean, orderly, and safe for the day care children. LPA observed the swimming pool is fenced and the door leading to the pool is locked. Off limit areas in the home: four bedrooms, one bathroom, and the attached garage. There are not stairs in the home. Off limit areas outside the home: The right side yard where the pool is located. Licensee states there are weapons/firearms in the home. LPA observed the firearms are stored in a safety vault located in an off limits bedroom. The ammunition is stored and locked in a separate box. LPA observed the playground area is located in the back yard of the home which is fenced. LPA observed a fully charged 2A10BC fire extinguisher last serviced on July 2019, working smoke and carbon monoxide detectors. All detergents, cleaning compounds, medications, and other similar items are stored inaccessible to children. LPA discussed Incidental Medical Services with the Licensee. Licensee has proof of immunization for measles, pertussis and influenza for herself and for all the adults in contact with children, according with the SB792. *******************************Report dated 2/26/2020 continues in page 2.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

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

FACILITY NAME: SANDHU, SUKHDEEP	FACILITY NUMBER: 434413722
	VISIT DATE: 02/26/2020

NARRATIVE

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Report dated 2/26/2020 continues from page 1.

A review of staff records on 2/24/2020 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come 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.
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 ratio (age of the children) must be observed. Licensee stated she does not transport children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time.
Department website: www.ccld.ca.gov provided to Licensees.
LPA discussed the requirements of AB 633 with the Licensee. LPA also discussed "zero tolerance" related regulations with the Licensee.
LPA observed that licensee, her husband, and her mother, have completed the Mandated Reporter training on 8/23/2018, and helpers on 8/24/2018 and 8/31/2018. Licensee understands the training shall be renewed every two years. LPA referred the licensee to the training website www.mandatedreporterca.com for additional information.
LPA advised 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 provided licensee with the Lead Poisoning Facts sheet.

No deficiencies were cited today.
A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

LIC809 (FAS) - (06/04)

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