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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700236
Report Date: 05/16/2024
Date Signed: 05/16/2024 02:20:59 PM

Document Has Been Signed on 05/16/2024 02:20 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:MEHRA, SUMEDHA & TARUNFACILITY NUMBER:
015700236
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
05/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Licensee, Sumedha Mehra and TarunTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Jyoti Saini arrived today at 12:55pm unannounced to conduct a CASE MANAGEMENT VISIT - INCREASE IN CAPACITY. All adults requiring background clearance have been cleared and associated with this facility. Upon arrival , LPA observed helper supervising five (5) children ( one infant and four preschoolers). Licensee arrived during the inspection around 12:57pm. Both the Licensees lives in the house with two minor children. The home is a two-story home with 4 bedrooms, 2.5 bathrooms, loft, living room, family room, kitchen, dining room, laundry room, garage and back yard. The hours of operation are 8:30am to 5:00pm Monday -Friday. The facility has approved fire clearance from the Dublin Fire Department with the condition that the garage and second floor cannot be used at any time.
On limit area: family room (main day care area) the living room, kitchen, dining area and backyard. Off-limit-areas: the entire second floor and garage. All off limit shall be made inaccessible by closed and/or locked doors and visual supervision.
There are no pools, hot tubs, ponds, or other bodies of water. All bathroom/kitchen cabinets are latched to prevent children from access. The stairway has a child safety gate to prevent access to the second floor of the house. The home has fully charged 3A40BC fire extinguishers, a working smoke detector, a working carbon monoxide detector, and a working telephone. Per Licensee, there are no firearms in the facility. The Licensee CPR and first aid certificate are current and expires 08/26/2025. The Licensee has current immunization records on file. There are no pets in the home. Licensee provides lunch and snacks. All required postings are properly posted. LPA discussed safe sleep guidelines and 15-minute check requirements.
Staff-children’s ratios were discussed with the Licensee for a Large Family Childcare Home (FCCH). If there is no helper, the Licensee will need to operate within the small FCCH in regard to ratios. If care is provided to the 7th and 8th child for a Small FCCH or the 13th and 14th child for a Large FCCH, the last two children need to be school-aged (6 years old). The licensee was advised that her ten-year-old and under children will be counted in the capacity.see next page...
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024
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: MEHRA, SUMEDHA & TARUN
FACILITY NUMBER: 015700236
VISIT DATE: 05/16/2024
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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 CHILD CARE LICENSE WILL BE RECOMMENDED ON MANAGER DISCRETION.

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

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC809 (FAS) - (06/04)
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