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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700212
Report Date: 05/31/2023
Date Signed: 05/31/2023 03:05:36 PM

Document Has Been Signed on 05/31/2023 03:05 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:PAREKH, KRISHNABAHENFACILITY NUMBER:
015700212
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
05/31/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Licensee, Krishnabehen ParekhTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with licensee, Krishnabahen Parkeh for a CASE MANAGEMENT VISIT - INCREASE IN CAPACITY. All adults requiring background clearance have been cleared and associated to this facility. Present during this inspection was Licensee, and helper supervising three (3) preschoolers and One (1) infant. Licensee lives in the house with her husband,and two ( 2 ) children. The home is a two story home with 3 bedrooms, 2.5 bathrooms, living room, kitchen with dining area, garage and back yard. The facility has approved fire clearance with the condition that garage, and second floor cannot be used at any time. The hours of operation are 9:00am to 5:00pm Monday -Friday.

ON-LIMIT AREAS are the living room, dining area, bathroom, and backyard.

OFF-LIMIT AREAS the entire second floor which consist of 3 bedrooms and 2 bathrooms, and garage. All the off-limit area are made inaccessible to children by locked doors, safety gates and visual supervision.



There are no pools, hot tubs, ponds, or any other bodies of water. All hazardous materials and toxins were observed to be made inaccessible to children. All bathroom/kitchen cabinets are latched to prevent children from access. The stairway has child safety gate at the base of the stairs.The home has fully charged 3A40BC fire extinguishers, working smoke detector, working carbon monoxide detector and working telephone. Per Licensee, there are no firearms in the facility. The licensee CPR and first aid certificate are current and expires 5/10/2025. Licensee completed the Mandated Reporter Training which expires on 04/25. Licensee has current immunization records on file. There are no pets in the home. Licensee provides lunch and snacks. Discipline policy is redirection. All required postings are properly posted.

Staff-children ratios discussed with Licensee for a Large Family Child Care Home (FCCH). If there is no helper, Licensee will need to operate within the small FCCH regarding ratios. If care is provided to the 7th and 8th child for a Small FCCH, or 13th and 14th child for a Large FCCH, the last two children need to be school aged (6 years old). A sample handout is given to Licensee today regarding Small/Large Family Child Care Home Capacity Limitations.

see next page...

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2023
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: PAREKH, KRISHNABAHEN
FACILITY NUMBER: 015700212
VISIT DATE: 05/31/2023
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Applicant is reminded of NO walker, exersaucers, jumpers, bouncers and any similar items to be used for children in care and shall be made inaccessible.

During Inspection, 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.

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.



Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

Large Family day Care license is recommended effective 05/31/2023

Exit interview conducted and report was reviewed with the licensee, Krishnabahen Parkeh.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC809 (FAS) - (06/04)
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