013422917-11-1-2023-52-CC-BPLY-CX6PWS-20231101114113

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422917
Report Date: 11/01/2023
Date Signed: 11/01/2023 11:41:18 AM

Document Has Been Signed on 11/01/2023 11:41 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:	GRUZMAN, CHANA		FACILITY NUMBER:	013422917
ADMINISTRATOR:	GRUZMAN, CHANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 342-9326
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	11/01/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Chana Gruzman- Licensee		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	On 11/1/23, Licensing Program Analysts Briana Plumboy and Brittany Crass met with licensee Chana Gruzman for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was 2 infants (licensees children), 7 preschool age children, assistant Abril Rodriguez, and licensee's fingerprint clear and associated husband Shneur Gruzman. Also present was a nanny who is caring for licensees 2 infants in another part of the home. The home was toured to conduct a Health and Safety Inspection. Per licensee, the facility currently operates Monday through Friday from 8:00am until 6:00pm. The home has two levels. The home consists of a living room, family room, dining room, kitchen/dining room combo, 2 bedrooms, 2 bathrooms, a master bedroom/bathroom/closet, a laundry room, and an extension of the home which can be accessed through the home by a door located in between the laundry room and bathroom. ON LIMITS: the dining room, living room, and kitchen/dining room combo. Also on limit is the bedroom located inside the left hallway first on the right, both downstairs bathrooms, and the first level of extension of the home off the right of the kitchen. OFF LIMITS: the master bed/bath/closet, family room, laundry room, and the entire upstairs portion of the home. As of 11/1/23, the the bedroom located at the end of the hallway is off limits to children in care. The isolation area will be will be the first bedroom on the right located inside the hallway on the left of the dining room. There are 2 fire extinguishers, carbon monoxide detector, working smoke detector, and 2 pull down fire alarms. Outdoor play area is completely fenced. The children in care do not utilize the area near the shed locate behind the black cushioning in the backyard. There are toys, learning materials, and play equipment. Hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible to children during today's inspection. The licensee and her husband Shneur's CPR and First Aid certificates are current and expires 12/2025. The licensees mandated reporter training was completed on 1/12/23 and assistant Abril Rodriguez's mandated reporter training was completed 1/19/23. The licensee and Abril is in compliance with the immunization law which pertains to day care providers. The fireplaces are boarded and cannot be used. Per licensee, there are no firearms in the home. The last fire/disaster drill was conducted on 9/28/23. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review. See 809-C for continuance

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

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: GRUZMAN, CHANA	FACILITY NUMBER: 013422917
	VISIT DATE: 11/01/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Family Child Care Homes 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.

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.

See 809-C for continuance

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

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: GRUZMAN, CHANA	FACILITY NUMBER: 013422917
	VISIT DATE: 11/01/2023

NARRATIVE

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The licensee provided proof of control of property.

LPA discussed the safe sleep regulations with and discussed the Child Care Licensing Safe Sleep webpage at: https://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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility.

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

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Chana Gruzman.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

LIC809 (FAS) - (06/04)

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