<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420166
Report Date: 01/16/2025
Date Signed: 01/16/2025 10:16:27 AM

Document Has Been Signed on 01/16/2025 10:16 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:RAVANI, MAUSAMIFACILITY NUMBER:
013420166
ADMINISTRATOR/
DIRECTOR:		RAVANI, MAUSAMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 978-3000
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
01/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Mausami Ravani TIME VISIT/
INSPECTION COMPLETED:
10:30 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) Jyoti Saini met with Licensee Mausami Ravani for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Present during this inspection was the Licensee, supervising two (2) preschoolers. The home is a two-story home with four bedrooms, two bathrooms, and a loft on the second floor. The first floor consists of a living room, family room, kitchen, dining area, laundry room, garage, bedroom, bathroom, and back yard. The provider operates a part-time program, 9:00 am- 1:00pm, Monday -Friday. The facility has liability insurance through DCI Insurance.

ON-LIMIT AREAS: living room, family room, kitchen, dining area, downstairs bathroom, and backyard. OFF-LIMIT AREAS are the entire second floor, downstairs bedroom, laundry room, and garage.

The living room is a primary daycare area, equipped with age-appropriate toys for children. The home has a working telephone, a functional smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. During the inspection, LPA did not observe any bodies of water. The fireplace in the family room is screened to prevent children from accessing it, and the licensee confirmed that the fireplace is not in use during operational hours.The living room contains child-sized tables and chairs for snacks and activities. The outdoor play area is fenced and furnished with various outdoor toys. The licensee confirmed that there are no guns or weapons of any kind in the home. Electrical outlets are equipped with child protective covers, ensuring they are inaccessible to children. A child safety gate at the bottom of the stairs prevents children from accessing the stairs and upper levels.The licensee's CPR certification expires on 08/25, and the mandated reporter certificates expires on 01/19/2026. As per fire drill log, the most recent emergency drill was conducted on 12/02/2024 at 10:00 a.m. The licensee provides daily snacks and lunch for the children in care.LPA reviewed the children's files, and all records were complete and up to date. All required postings are properly posted. A copy of the children's roster was available for review and was obtained. The licensee acknowledged an understanding of safe sleep guidelines.

see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RAVANI, MAUSAMI
FACILITY NUMBER: 013420166
VISIT DATE: 01/16/2025
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
26
27
28
29
30
31
32
During Inspection, Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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.



Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

No deficiency is cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Mausami Ravani

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2