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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422758
Report Date: 01/14/2025
Date Signed: 01/14/2025 11:28:34 AM

Document Has Been Signed on 01/14/2025 11:28 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:TRIPATHI, ANJUFACILITY NUMBER:
013422758
ADMINISTRATOR/
DIRECTOR:		TRIPATHI, ANJUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 666-6320
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
01/14/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Anju Tripathi / TIME VISIT/
INSPECTION COMPLETED:
11:28 AM
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On January 14th, 2025 at 10:00am Licensing Program Manager Chandra Charles and Licensing Program Analyst April Wright, met with Licensee Anju Tripathi and her husband Shailendara Tripathi at the Oakland Regional Office, for a scheduled Informal Conference meeting. The purpose of today’s meeting is to discuss, Children’s Personal Rights and a recent allegation of a child sustained unexplained injuries at her family childcare home facility.

Recap of Complaint Incident:

On September 23rd, 2024, a complaint was filed against the Licensee Family Child Care Home (FCCH) license. A minor child sustained unexplained injuries while in care. Due to lack of supporting evidence, the complaint was deemed Unsubstantiated. Upon LPA approach to the front door of the home, LPA observed the Licensee assistant Nusratbibi Khan in the kitchen window. LPA viewed through the front door window and observed Assistant Nusratbibi "running" to another room in the home but had not opened the door for the LPA. LPA further observed through the front door window, the assistant opening the closed door of the day-care room where children were left unsupervised. LPA asked the Licensee if the assistant was not present and children were left unsupervised in the day-care room. Licensee confirmed that they were alone and assistant was not present in the day-care room. Licensee stated they were in the napping room which is not in visual or physical supervision of the children in care.

LPM and LPA discussed with the Licensee Title 22 Personal Rights regulation. During the general conversation, tips were provided to the licensee of how to conduct daily wellness checks of children enrolled in their facility.

LPM and LPA also provided guidance for reporting incidents to parents (such as utilizing ouch reports) and to CCLD, as well as providing quality supervision to children in care.


See LIC809C for continuance.
Chandra CharlesTELEPHONE: (510) 286-0966
April WrightTELEPHONE: (510) 542-4257
DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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: TRIPATHI, ANJU
FACILITY NUMBER: 013422758
VISIT DATE: 01/14/2025
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Plan of Correction for the previous deficiency cited is for the licensee:

· View the Personal Rights of Children in Care LIC 613A line item 6.

· Write a page stating what the licensee understanding of Personal Rights pertaining to day-care providers.

· Please resubmit your signed written document to your Licensing Program Analyst within one business day from the date of this meeting. The submission of your document is to be by U.S. mail to Community Care Licensing Division – Childcare Program 1515 Clay Street, 11th floor, Ste 1102, Oakland, CA 94612 attention (LPA) April Wright. Also, submit this document via email at april.wright@dss.ca.gov . Upon receipt of your document your deficiency will be cleared. LPA provided copy of the Health and Safety code regulations for "Personal Rights" for the licensee review and for clarification.


Report was read and reviewed with Licensee Anju Tripathi.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC809 (FAS) - (06/04)
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