015700159-8-16-2023-52-CC-RDUT-CURTRL-20230816145744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700159
Report Date: 08/16/2023
Date Signed: 08/16/2023 02:57:51 PM

Document Has Been Signed on 08/16/2023 02:57 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	BHALANI, HIRALBEN		FACILITY NUMBER:	015700159
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Hiralben Bhalani		TIME COMPLETED:	03:05 PM

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On August 16, 2023 at approximately 1:30pm licensing Program Analysts (LPAs) Russ Haderer and Randall Dunevant arrived for a unannounced annual visit. LPAs met with licensee Hiralben Bhalani and discussed the purpose of the visit. Living in the home is the licensee, her TB test and fingerprint cleared husband and two adolescent children. Present for today’s inspection was licensee, her fingerprint and TB husband, and the licensees visiting father-in-law. No children in care for todays visit, licensee has recently went back on active status and will be getting children soon. The hours of operation are Monday-Friday, 8:30am to 6:00pm (occasionally it will be open until 11:00pm for parent’s night out).

LPA and the licensee toured the facility to review for health and safety. There is a 2A10BC fully charged fire extinguisher attached to the wall near the entrance to the facility and a working and tested smoke alarm and carbon monoxide detector. Licensee is up to date with CPR/1^st aid training that; expires on 5/29/2025. Mandated Reporter certificate expires on 5/10/2025. Licensee is in compliance with immunization requirements for Title 22.

The facility is a single-story home with a front and back yard area and an attached 2-car garage. The garage has been converted for childcare and a ½ bath was added. Childcare will be provided in the former garage, but children will not eat or sleep in there. Portable heaters provide heating for the winter months. Children will nap and eat in the family room of the home.

On-limit areas include: The converted two-car garage (day care area), the ½ bathroom in the garage daycare room; Family room; and the fenced backyard with patio and side yards, and the front yard grass area only (for picnics or family gatherings). The backyard area has a large grass area that the children will use, the planters will be off limits to children. The day care area contains a washer and dryer and water heater, all with locked access doors for safety.

Continued on 809C

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Randall Dunevant
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BHALANI, HIRALBEN	FACILITY NUMBER: 015700159
	VISIT DATE: 08/16/2023

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Off-limit areas include: The kitchen; living room, all three bedrooms, master and house bathrooms. The off-limit kitchen will have a gate for additional precaution to prevent children from entering the room. All off limit doors in the home have child proof locks to prevent entry, and all other off-limit areas are made inaccessible by closed and/or locked doors, and/or by child supervision. In the backyard area there are perimeter planters, two adult swing chairs and a locked garden shed that are off limits to children.

Per licensee, there are no firearms in the home. LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection. The backyard play area has age appropriate toys with a patio and grass area.

LPA reminded the licensee of the following; Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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/.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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.

Continued on 809C

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Randall Dunevant
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BHALANI, HIRALBEN	FACILITY NUMBER: 015700159
	VISIT DATE: 08/16/2023

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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.

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.

During the exit interview, 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.

Exit interview conducted and report was reviewed with licensee Hiralben Bhalani.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Randall Dunevant
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

LIC809 (FAS) - (06/04)

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