434415609-6-15-2020-07-CC-DMAC-BQLT6F-20200615142704

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415609
Report Date: 06/03/2020
Date Signed: 06/15/2020 02:27:33 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:	SETIA, MANMEET		FACILITY NUMBER:	434415609
ADMINISTRATOR:	SETIA, MANMEET		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 348-4847
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95051
CAPACITY:	14	CENSUS: 1	DATE:	06/03/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Setia, Manmeet		TIME COMPLETED:	11:50 AM

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 Analyst (LPA) Dung Mac conducted an announced prelicensing tele-inspection via video conference call (FaceTime) with Manmeet Setia, Applicant, as a result of Covid-19 related restrictions. The Applicant submitted the application (change of location) to the Department on April 17, 2020. A fire safety inspection request approval was received from the Santa Clara Fire Department on May 28, 2020. Days and hours of operation will be Monday to Friday from 8 AM to 6 PM. LPA observed Applicant's father ((Harbans Chhabda), Applicant's adult son (Hardeep Setia), Assistant (Yoshika De Silva), and a daycare infant in the home during today's tele-inspection. The adults that reside in the home: Applicant, Applicant's spouse (Gurinderpal Setia), Applicant's father (Harbans Chhabda), and Applicant's adult son (Hardeep Setia). All individuals subject to a criminal record review (Applicant & adults residing home) have obtained a criminal record and child abuse index clearances prior to today's tele-inspection. The Applicant states that she does not have any minor children. The Applicant agreed to give LPA a tour of the home (indoor/outdoor) via FaceTime during today's tele-inspection. LPA observed the home is clean and orderly, with heating and ventilation for safety and comfort. LPA observed there are safe and age appropriate toys, play equipment, and materials for the children in the home. LPA observed a barricaded fireplace and no wall heaters inside the home. LPA observed the home has working smoke/carbon monoxide detectors (tested by the Applicant during today's tele-inspection). The Applicant's CPR and First Aid certifications are current and expire on December 2020. The Applicant is enrolled to renew her Preventative Health and Safety Training including Nutrition on July 12, 2020 and a copy of the class registration is on file.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2020

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: SETIA, MANMEET	FACILITY NUMBER: 434415609
	VISIT DATE: 06/03/2020

NARRATIVE

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A Family Child Care Home packet with updated Licensing forms was mailed to the Applicant prior to today's tele-inspection and the Applicant acknowledged receipt of the packet.

The Applicant was informed that due to the current Covid-19 pandemic and "Shelter In Place" Order, the Facility Evaluation Report will be emailed to the Applicant (email: manmeetdaycare17@gmail.com) with "Read Receipt" notification. The Applicant understands that her reply to the email will serve as acknowledgement that the report was received.

LPA conducted an exit interview and advised the Applicant that a 90 day "Provisional" large Family Child Care Home license will be approved upon receiving a copy of the certificate of Preventative Health and Safety training.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2020

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: SETIA, MANMEET	FACILITY NUMBER: 434415609
	VISIT DATE: 06/03/2020

NARRATIVE

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LPA informed the Applicant smoking is prohibited in the home during daycare operating hours and the Applicant understands and states that nobody smokes in the home. The Applicant states that she does not have any baby walkers in the home and understands that baby walkers are not allowed in the home. The Applicant states that she does not have any firearms or pets in the home.

LPA toured the home. The Applicant states that the off limit areas inside the home are master bedroom, master bathroom, bedroom #2, bedroom #3, study room, and detached garage. The Applicant states that family room is used as a designated area where a child(ren) can be isolated if exhibiting signs of illness. The off limit areas inside the home are inaccessible to children. The off limit areas are not all listed on the Facility sketch. LPA informed the Applicant that the facility sketch needs be updated with the off limit areas clearly labeled. The updated sketch was received.

LPA observed the Applicant has a fully charged fire extinguisher (3A40BC) in the home. LPA observed all cleaning compounds and medications are inaccessible to the children. The Applicant states that there are no poisons inside the home.

LPA toured the kitchen and observed that sharp utensils, lighter/matches, or open bottles of alcohol are inaccessible to children. The Applicant understands that any food/drink which is brought by parent(s) of day care child(ren) must be properly labeled with the child(ren) name and properly stored or refrigerated.

LPA toured two bathrooms (master and hallway) and observed that the bathroom toilets and faucets are clean, safe, and operable. LPA observed that the bathtub and shower are free of any hazards. LPA observed that all shampoos, soap, medication, mouthwash, perfumes, razors, cleaning products, air fresheners, and nail polish/remover are inaccessible to children.

LPA toured the backyard area and observed the backyard area is adequately fenced and there are no bodies of water. The Applicant states that poisons are stored in the locked cabinet which is located on left side of the home. LPA observed a stack of woods and 6’ rail placed at the side of the house, accessible to children. LPA explained to the Applicant that these items pose a hazard to children. Licensee removed the items to clear out the area.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2020

LIC809 (FAS) - (06/04)

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