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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700257
Report Date: 09/21/2022
Date Signed: 09/21/2022 05:14:45 PM

Document Has Been Signed on 09/21/2022 05:14 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LANKE, ROHINIFACILITY NUMBER:
015700257
ADMINISTRATOR:LANKE, ROHINIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 279-8418
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
09/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Rohini LankeTIME COMPLETED:
05:30 PM
NARRATIVE
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On September 21, 2022 Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with Licensee, Rohini Lanke, for an unannounced 1 Year annual random inspection. Present during today's inspection was the Licensee and eleven (11) children . The ADU home was toured to conduct a health and safety inspection, hours of operation are Monday - Friday 8:30 AM - 6:00 PM.

On-limit-areas: ADU Unit in the rear of the home. The entire ADU is on limits, main room for child care (living room), kitchen, bathroom and bedroom. The rear yard that is closest to the ADU (deck area).

Off-limit-areas: The entire main home plus garage. Per fire inspection. The home has five bedrooms and three bathroom home. The rear yard that is closet to the property home, under the wooded shaded structure. The deck area on the side near the fence is off limits. Isolation area: Section of the floor area living room (day-care area) away from the children in care.

The home is neat and clean with heating and ventilation for safety and comfort. All toxins, medications, hazardous materials, and cleaning compounds were observed throughout the inspection to be made inaccessible to children. Licensee stated there are no firearms in the home. Off-limit areas of the home were observed throughout the inspection to be made inaccessible to children via closed and locked doors and visual adult supervision.

***Continued on LIC809C...

Chandra Charles
Lorraine Dacanay-Breaux
DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LANKE, ROHINI
FACILITY NUMBER: 015700257
VISIT DATE: 09/21/2022
NARRATIVE
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The licensee was also reminded that CPR/First Aid is renewed every two years. Mandated Reporter Training is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

LPA discussed the Safe sleep regulations with licensee and discussed Child Care Licensing Safe Sleep webpage 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.

Incidental Medical Services (IMS) policy was discussed. Licensee was reminded that when any IMS is provided, an Plan of Operation that includes IMS must be submitted to the Department. The following information 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: http://www.ada.gov/childqanda.htm.

The licensee is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing. The licensee was provided information regarding effects of Lead Exposure and testing requirements (Assembly Bill 2370)

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.

There was two deficiency issued today, see LIC809D. This report will remain on file for three years. Licensee was provided the LIC9224 and instructed to provide to current parents immediately and any new parents up to one year.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights Provided and a coopy of the report..

Exit interview conducted and report was reviewed with the licensee Rohini Lanke.

SUPERVISOR'S NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/21/2022 05:14 PM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 09/21/2022 at 04:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LANKE, ROHINI
FACILITY NUMBER: 015700257

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102416.5(e)
Staffing Ratio and Capacity
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in licensee was out of ratio, no assist with elevan (11) children in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 09/30/2022
Plan of Correction
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Effective immedately Licensee will have to operate as a small day care, providing cae for 6 (six) children until an assistance is hired.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/21/2022 05:14 PM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 09/21/2022 at 05:01 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LANKE, ROHINI
FACILITY NUMBER: 015700257

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(10)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in having the children in bouncers while sleeping and in a walker at the child care facility which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 09/28/2022
Plan of Correction
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Immediately, Licensee removed the children from the three bouncers and the walker. Licensee stated that the bouncers belong to the families and will have them picked up today when they pick up child. The bouncers and walker was placed outside of the facility during the inspection.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2022


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