015700264-7-28-2022-52-CC-RHAR-CGRQSJ-20220728122536

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700264
Report Date: 07/28/2022
Date Signed: 07/28/2022 12:25:46 PM

Document Has Been Signed on 07/28/2022 12:25 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:	PAREKH, CHETNABEN		FACILITY NUMBER:	015700264
ADMINISTRATOR:	PAREKH, CHETNABEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 218-2367
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 11	CENSUS: 11	DATE:	07/28/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Chetna Parekh		TIME COMPLETED:	12:35 PM

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On July 28, 2022 at approximately 8:20am am Licensing Program Analyst (LPA) Russ Haderer arrived unannounced for an annual inspection for health and safety. Present for today’s inspection was the licensee, her fingerprint and TB cleared husband, their adolescent children and visiting parents. Living in the home are their two children, 9 year and 14 years old. Upon arrival there were 2 children present, 9 more arrived during the inspection (4 infants; 3 two-years old; 2 three-years old; 1 four-years old). The facility is in ratio today. Hours of operation remain Monday-Friday, 8:00AM to 6:00PM.

The facility is a single story 3-bedroom, 2 bath home, and (formerly) an attached two-car garage. The garage is currently under construction being converted to an ADU. Workers have not been in the presence or any children in care. The home is owned by the licensee and contains a dining room, kitchen, living room three bedrooms and two bathrooms, an enclosed (fenced) back and side yard areas and a separate courtyard area between the living room and one bedroom and a small driveway area in the front of the home. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be dining room area outside of the day care area and away from the other children in care.

On-limit-areas include: Living room (day care area), kitchen, dining room, bedroom attached to the courtyard (for napping) and the main house bathroom, the courtyard area and locked back and side yards area. The exterior gate has a padlock. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area.

Off-limit-areas include: Master bedroom with attached master bathroom, second bedroom next to the master bedroom, newly constructed ADU (formerly attached 2-car garage) and driveway area of the front yard. The off-limit areas will be inaccessible by closed and/or locked doors, and/or by child supervision.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

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: PAREKH, CHETNABEN	FACILITY NUMBER: 015700264
	VISIT DATE: 07/28/2022

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Licensee has ample age-appropriate toys and learning materials. The home has a fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detectors (tested and functioning), and a working telephone. The disaster drill log showed the last drill conducted to be October 2021, see LIC809D for deficiency.

The licensee’s Health and Safety training is completed, and CPR and First Aid certificate is current and expires 01/22/2024. The licensee completed and received a certificate in mandated reporter training (verified AB1207), expires on 05/09/2023. The licensee is in compliance with the immunization laws which pertains to day care providers.

LPA reminded the licensee of the following: Mandated Reporter training is to be renewed every two years; CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

There is a fireplace in the living room that is blocked with heavy furniture to prevent children’s access. Per licensee, there are no firearms in the home. The licensee does not carry liability insurance, signed parent acknowledging of this is in each child’s file. Ratios were discussed and a copy left for licensee as a reminder. LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection. Child-proof doorknob covers for the (former garage) door access, the master bedroom and second off-limits bedroom.

Children’s files were reviewed and all were found to be complete and in good order.

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.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

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: PAREKH, CHETNABEN	FACILITY NUMBER: 015700264
	VISIT DATE: 07/28/2022

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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.
Licensee was reminded that all adults 18 and over, 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 Child Care Center. 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA 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

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 were 1 deficiency issued today, see LIC 809D.

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

Exit interview conducted and report was reviewed with the licensee Chetna Parekh.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/28/2022 12:25 PM - It Cannot Be Edited

Created By: Russell Haderer On 07/28/2022 at 12:02 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: PAREKH, CHETNABEN	FACILITY NUMBER: 015700264
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/28/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in that the required 6-monthly disaster drills have not been done since October 2021 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/29/2022
	Plan of Correction
1 2 3 4	Licensee will immediately conduct a fire or earthquake drill and going forward will continue to conduct these drills at least once every 6 months.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Russell Haderer

LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

LIC809 (FAS) - (06/04)

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