015700212-7-18-2024-52-CC-JSAI-D7AQ8T-20240718115716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700212
Report Date: 07/18/2024
Date Signed: 07/18/2024 11:57:21 AM

Document Has Been Signed on 07/18/2024 11:57 AM - 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, KRISHNABAHEN		FACILITY NUMBER:	015700212
ADMINISTRATOR/ DIRECTOR:	PAREKH, KRISHNABAHEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 402-9146
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	07/18/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:10 AM
MET WITH:	Licensee, Krishnabahen Parekh		TIME VISIT/ INSPECTION COMPLETED:	12:15 PM

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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Krishnabahen Parkeh for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Present during this inspection was licensee and helper supervising three (3) infants and four (4) preschoolers. The licensee lives in the house with her husband and two minor children. The home is a two-story home with three bedrooms, 2.5 bathrooms, a living room, a kitchen with dining area, a garage, and a back yard. The hours of operation are 9:00 am to 5:30 pm, Monday -Friday.
ON-LIMIT AREAS are the living room, dining area, and backyard.
OFF-LIMIT AREAS, which include the entire second floor, garage. The off limit areas are made inaccessible to children through a combination of locked doors, safety gates, and visual supervision.
LPA observed the following: Home has a working telephone, a working smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. There are no bodies of water or Fireplace in the Day-care area during today's inspection. There are child size tables and chairs for snack and activities. The napping room had cots in good condition and each child have their separate blankets. The blankets are washed weekly by the Parents. The outdoor play area is fenced and equipped with the play structure. Licensee states there are no guns or weapons of any kind in the home. Electrical outlets have child protective covers in place making them inaccessible to children. There is a child safety gate located at the bottom of the stairs to prevent access to the stairs and upper levels to children in care.

Licensee's CPR expires on 5/2025. Licensee and helper have current Mandated Reporter training on the file. The log indicated the last drill was conducted on 06/01/2024, which falls on Saturday. Per licensee, facility do not provide care over the weekend but conducted the visit on Saturday. The licensee was instructed to conduct a visit with all children, age, and ability permitting, so all of them are aware of their duties during a emergency disaster.(see technical violation LIC9102). The licensee provides daily snacks and meals. Discipline policy is redirection. LPA reviewed children's files. All the files are complete and up to date. All required postings are properly posted. A copy of the children’s roster was reviewed and obtained. Licensee has a record of 15 minutes sleep check.

see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024

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: PAREKH, KRISHNABAHEN	FACILITY NUMBER: 015700212
	VISIT DATE: 07/18/2024

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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

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

No deficiency is cited today, however technical violations were given.

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

Exit interview conducted and report was reviewed with the licensee, Krishnabahen Parekh

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024

LIC809 (FAS) - (06/04)

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