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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700236
Report Date: 08/15/2024
Date Signed: 08/15/2024 02:57:21 PM

Document Has Been Signed on 08/15/2024 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MEHRA, SUMEDHA & TARUNFACILITY NUMBER:
015700236
ADMINISTRATOR/
DIRECTOR:		SUMEDHA MEHRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 999-5972
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
08/15/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Licensee, Sumedha & Tarun MehraTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Tarun Mehra for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by a helper. Licensee Sumedha Mehra arrived during the inspection. Present during this inspection was the Licensee and helper supervising three children ( two infants and one preschooler). 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 8:00am to 6:00pm, Monday -Friday.
Daycare area: This includes the family room (the main daycare area), the living room, the kitchen, the dining area, and the backyard.
Off-limit areas: the entire second floor and garage. All off-limit areas are made inaccessible by closed and/or locked doors and visual supervision.
LPA inspected the house for health and safety hazards. The daycare Area is clean, orderly, and equipped with age-appropriate toys. The home has a working telephone, a smoke and carbon monoxide detector, and a fire extinguisher. During today's inspection, LPA observed 38 gallon aquarium tank with two small fish in the dining area. The aquarium is safe and secure. LPA reminded the Licensee that all food and cleaning products for the aquarium must be kept inaccessible to the children.The Licensee states there are no guns or weapons in the home. There are no pets in the home. The licensee was advised that when there are children in the facility under five years old, stairs need to be barricaded. ( see technical violation) The backyard is fully fenced and divided into three sections. The left and right sides of the backyard areas are barricaded with the gate, and the Licensee understands that the children are only allowed to use the center part of the backyard. LPA reminded the Licensee that 100% visual and physical supervision is required when children play in the backyard. The licensee and helper have a valid CPR and first aid card on the file. The licensee and helper have the current mandated reporter certificate on file. The Licensee provides daily snacks and meals. LPA reviewed the children's files. All the files are complete and up to date. All required postings are properly posted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: 08/15/2024
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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 two 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 Sumedha Mehra.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC809 (FAS) - (06/04)
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