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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700159
Report Date: 10/22/2024
Date Signed: 10/22/2024 01:06:44 PM

Document Has Been Signed on 10/22/2024 01:06 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, HIRALBENFACILITY NUMBER:
015700159
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:01 AM
MET WITH:Hiralben BhalaniTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On October 22, 2024 at approximately 10:0am Licensing Program Analyst (LPA) Randy Miranda arrived for an unannounced annual inspection for health and safety. LPA 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 and her fingerprint and TB cleared husband. No children are in care for today’s visit and has not had children in care since late 2022. Licensee is on active status and plans to enroll children in January 2025. The hours of operation will be Monday-Friday, 8:00am 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/1st 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 living room area of the home.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: BHALANI, HIRALBEN
FACILITY NUMBER: 015700159
VISIT DATE: 10/22/2024
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On-limit areas include: The converted two-car garage (day care area), the ½ bathroom in the garage daycare room; living room; and the fenced backyard with patio and side yards, and the front yard grass area only for gatherings. The backyard 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.

Off-limit areas include: The kitchen; family 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, but are in storage due to zero children in care.



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/.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: BHALANI, HIRALBEN
FACILITY NUMBER: 015700159
VISIT DATE: 10/22/2024
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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.

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.

No deficiencies were issued in today's inspection.


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

Exit interview conducted and report was reviewed with licensee Hiralben Bhalani.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC809 (FAS) - (06/04)
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