013420760-10-4-2024-52-CC-RMIA-D9QPU7-20241004113704

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420760
Report Date: 10/04/2024
Date Signed: 10/04/2024 11:37:13 AM

Document Has Been Signed on 10/04/2024 11:37 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	MUJRAL, ANUPAMA		FACILITY NUMBER:	013420760
ADMINISTRATOR/ DIRECTOR:	MUJRAL, ANUPAMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 896-8656
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 8	DATE:	10/04/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:25 AM
MET WITH:	Anupama Mujral		TIME VISIT/ INSPECTION COMPLETED:	11:40 AM

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On October 04, 2024 at approximately 8:30am Licensing Program Analyst (LPA) Randy Miranda arrived for an unannounced annual inspection for Health and safety. Present for the inspection was licensee Anupama Mujral, two fingerprint and TB cleared assistants and 11 children in care; (4 infants; 7 two-years old). The facility is in ratio today. Hours of operation are Monday – Friday 8:30am to 5:30pm.

The facility is a single story 4-bedroom, 3 bath home with an attached 2-car garage. It is owned by the licensee and contains a large foyer in entrance area, dining room, family room, living room (with screened gas fireplace) kitchen, dedicated daycare room in the back, enclosed (fenced) side and backyard areas. Licensee carries liability insurance through Markel Insurance the policy is valid 6-1-2024 through 6-1-2025. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the bedroom/office near the daycare room away from the other children in care.

On-limit-areas include: Children’s daycare area in the back of the house (includes a small kitchenette), with an attached children’s bathroom, side yard (entrance for daycare) and main backyard area used for play and bedroom attached the the childcare bathroom used as an isolation area. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area.

Off-limit-areas include: Three bedrooms, 2 main house bathrooms, the dining room, foyer area and attached 2-car garage and north side yard of the house. The off-limit area will be inaccessible by closed and/or locked doors, and/or by child supervision.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024

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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MUJRAL, ANUPAMA	FACILITY NUMBER: 013420760
	VISIT DATE: 10/04/2024

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Licensee has ample age-appropriate toys and learning materials. The home has a fully charged 3A40BC fire extinguisher stored between the kitchen and dining room area, and a 2A10BC fire extinguisher stored between the daycare room and living room. There is a working telephone, a combined smoke detector and carbon monoxide detector (tested and functioning).

Disaster drills are conducted at least once every six months, the last drill was completed on 6/10/2024. Per licensee, there are no firearms in the home. There is a small water (fountain) in the backyard play area that is drained and dry. Licensee was reminded that this must always be kept empty of water. LPA did not observe any hazardous materials, or toxins accessible to children on the premises during the inspection.

Children files were reviewed, roster was available and a photocopy taken. All records were complete and in good order. LPA reviewed facility files including records for licensee and assistants. All facility files were complete and well organized. The licensee’s Health and Safety training is completed, and CPR and 1^st Aid certificate is current and expires on 6/01/2026. Mandated Reporter certificate is current and expires on 3/24/2026. Both assistant’s Mandated Reporter, was completed and expires 10/20/2024 and 4/08/2026. CPR/1^st Aid is current and expires 3/05/2025 and 6/01/2026. Licensee is in compliance with immunization laws which pertains to day care providers. LPA reminded the licensee of the following: Mandated Reporter certificate and CPR/First Aid must be renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

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

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024

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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MUJRAL, ANUPAMA	FACILITY NUMBER: 013420760
	VISIT DATE: 10/04/2024

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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 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.

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.

There were no deficiencies issued during today’s inspection. This report will remain of file for 3 years.

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

Exit interview conducted and report was reviewed with the licensee Anupama Mujral.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024

LIC809 (FAS) - (06/04)

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