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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700122
Report Date: 09/09/2022
Date Signed: 09/09/2022 01:11:27 PM

Document Has Been Signed on 09/09/2022 01:11 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NANDI, BITASTA & NANDI BISWAS, BITANFACILITY NUMBER:
015700122
ADMINISTRATOR:NANDI, BITASTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 277-7932
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
09/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Bitasta Nandi and Bitan Nandi BiswasTIME COMPLETED:
01:30 PM
NARRATIVE
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On September 9, 2022 at 12:00PM, Licensing Program Analyst (LPA) Kelly Phan met with licensees Bitasta Nandi and Bitan Nandi Biswas for an Unannounced Case Management inspection. Present for the visit were the licensee(s), their two fingerprinted and associated helpers, along with 3 infants and 5 preschool aged children. Also residing in the home is the licensee's fingerprinted and associated adult daughter.

A compliant was filed on 08/16/2022 that pertained to personal rights. During the course of the complaint investigation, LPA conducted interviews with staff and families that there was an usual incident regarding hand, foot, and mouth disease that had occurred that was not reported to Licensing after it was discovered by licensees. LPA also discovered there was another HFM exposure that was not reported that had happened about 2 to 3 weeks ago. Licensee did advise families of the exposures, however it was not reported.

As a result, Type B citation was issued today. SEE LIC 809D. LPA reminded licensees to review "Reporting Requirement" video on CDSS website of what to report; Licensees are also asked to make an initial report within 24hrs to the office as well as mail or fax a written report within 7 business days.

Exit interview conducted with licensee Bitasta Nandi and Bitan Nandi Biswas and copy of report, appeal rights, and notice of site visit were provided and must be posted for 30 days. Failure to comply with this posting requirement shall result in immediate civil penalty of $100.00.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2022
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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Document Has Been Signed on 09/09/2022 01:11 PM - It Cannot Be Edited


Created By: Kelly Phan On 09/09/2022 at 12:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NANDI, BITASTA & NANDI BISWAS, BITAN
FACILITY NUMBER: 015700122

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2022
Section Cited
CCR
102416.2(3)(c)(3)

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102416.2(3): Reporting Requirements: Health and Safety Code Section 1597.467(b)(1) provides in part: "A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events...A communicable disease outbreak when determined by the local health authority. This requirement was not met as evidenced by:
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Licensee is informed to call and fax completed report to the Department during business hours of the unusual incident; licensee is also suggested to watch “Child Care Reporting Requirements” video located on CDSS website to refresh what is necessary to report to licensing
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Based on interview and record review, licensee did not comply with the section cited above as licensees failed to report an unusual incident regarding a hand, foot, and mouth exposure at her facility to licensing, which poses a potential health, safety, or personal rights risk to persons in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Jason Jang
LICENSING EVALUATOR NAME:Kelly Phan
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2022


LIC809 (FAS) - (06/04)
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