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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423012
Report Date: 08/09/2024
Date Signed: 08/09/2024 03:42:19 PM

Document Has Been Signed on 08/09/2024 03:42 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:VAIDYA, DAKSHA DFACILITY NUMBER:
013423012
ADMINISTRATOR/
DIRECTOR:		VAIDYA, DAKSHA DFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 697-0006
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Daksha VaidyaTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On August 9th, 2024 at approximately 2:05pm, Licensing Program Analyst (LPA) April Wright met with licensee Daksha Vaidya for an Unannounced Annual/Random Inspection. Present during inspection were four (4) preschool age children and the licensee fingerprint cleared spouse and daughter. LPA toured the home to conduct a health and safety inspection. Hours of operation are 9:00am - 5:00pm Monday through Friday.

The single story home consists of four (3) bedrooms, three (3) bathrooms including master bathroom, Living room, dining area, kitchen, backyard, front yard and garage. The home is neat and orderly, with heating and ventilation for safety and comfort of children in care. The outdoor play area is an enclosed area directly behind the day care room. The back and front yard is completely fenced. 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. The fireplace has a glass door and is locked. LPA observed glass door to have no signs of damage or defects and it is inaccessible to children in care.

ON LIMITS: Day care room with bathroom (large room on the right side of house upon entry to the home), and portion of back yard (fenced to right of patio entry). Isolation area will be in the living room, a section away from children.

Off LIMITS: Remaining 3 bedrooms and 2 bathrooms (master included), remaining portion of backyard (left of patio entry), front yard with bird bath, dining room, kitchen, and garage. Per fire clearance, day care is not approved in garage. The off limits area and will be made inaccessible by closed and/or locked doors, security gates and visual supervision. Licensee confirmed and LPA observed that there are no pets, firearms or weapons in the home. See LIC809C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2024
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: VAIDYA, DAKSHA D
FACILITY NUMBER: 013423012
VISIT DATE: 08/09/2024
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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 6/28/2024. The licensee has current Mandated reporter training which was completed on 4/17/2024 and CPR/First aid certificate that expires 4/26/2026. Licensee is in ratio today. 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: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2024
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: VAIDYA, DAKSHA D
FACILITY NUMBER: 013423012
VISIT DATE: 08/09/2024
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During the exit interview, the Licensee Vaidya, 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 Daksha Vaidya.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2024
LIC809 (FAS) - (06/04)
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