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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421956
Report Date: 08/15/2024
Date Signed: 08/16/2024 02:39:30 PM

Document Has Been Signed on 08/16/2024 02:39 PM - 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:PATEL, VASUDHAFACILITY NUMBER:
013421956
ADMINISTRATOR/
DIRECTOR:		PATEL, VASUDHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 585-6666
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/15/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:25 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On August 16th, 2024 at approximately 12:25pm, Licensing Program Analyst (LPA) April Wright met with licensee Vasudha Patel for an Annual /Random Inspection. Present during the inspection were four (4) preschool age children and the licensee's fingerprint cleared parents. LPA toured the home to conduct a health and safety inspection. The licensee is in ratio today. Hours of operation are 8:00am - 5:30pm Monday through Friday.

The two story home consists of five (5) bedrooms including master bedroom, four (4) bathrooms, kitchen, garage, office, living room, family room, loft and backyard. The home was neat and orderly with heating and ventilation for safety and comfort of children in care. There are age appropriate toys that were inspected and appear to be safe condition, free of visible defects or damage. The isolation area is the home office which is a section away from other children in care. The backyard is completely fenced and LPA observed it to be in good repair, free of damage or hazardous conditions. LPA observed and Licensee confirmed that are no toxins, medicines, cleaning products or hazardous materials visible during today's inspection and were made inaccessible to children in care.

On limit areas: Day care room (Bedroom #3 - first level) ), bathroom (adjacent to day-care room) and backyard.
Off-limits areas: Entire second level of the home which includes Bedrooms #1 & #2,(first floor), Bedroom #4 and #5 (second level), living room, kitchen, family room, loft and garage. The off limits area and will be made inaccessible by closed and/or locked doors, security gates and visual supervision.
There is a Child safety gate at the bottom of the stairs to prevent access to the upper levels of the home. LPA observed and Licensee confirmed that there are no pools, hot tubs or any other bodies of water present in the home. The fireplace is located in the living room which is in the off limits area of the home, inaccessible to children in care. LPA observed and Licensee confirmed that there are no pets, firearms or weapons in the home. See LIC809-C for continuance.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PATEL, VASUDHA
FACILITY NUMBER: 013421956
VISIT DATE: 08/15/2024
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All individuals subject to criminal record review have a clearance or exemption and have been associated to this FCCH. LPA requested and reviewed the files of four (4) children in care. The children's files contained, Parents rights, medical consent forms, identification and emergency contacts. The children's roster was reviewed and copies were obtained. The licensee conducts fire/disaster drills twice a year and the last was conducted on 6/25/2024. The licensee has current Mandated reporter training which was completed on 8/16/2024 and CPR/First aid certificate that expires 6/2025. All required forms are posted and visible for public viewing.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days 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 athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP . 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: https://www.ada.gov/resources/child-care-centers/.

See LIC809C for continuance.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PATEL, VASUDHA
FACILITY NUMBER: 013421956
VISIT DATE: 08/15/2024
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

During the exit interview, the Licensee Patel, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.


Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Vasudha Patel.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC809 (FAS) - (06/04)
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