015700264-10-31-2024-52-CC-RMIA-DAKPVP-20241031113927

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700264
Report Date: 10/31/2024
Date Signed: 10/31/2024 11:39:34 AM

Document Has Been Signed on 10/31/2024 11:39 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	PAREKH, CHETNABEN		FACILITY NUMBER:	015700264
ADMINISTRATOR/ DIRECTOR:	PAREKH, CHETNABEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 218-2367
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	10/31/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Chetnaben Parekh		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

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On October 31, 2024 at approximately 8:15am Licensing Program Analyst (LPA) Randy Miranda arrived unannounced for an annual inspection for health and safety. Present for today’s inspection was the licensee Chetnaben Parekh, her fingerprint and TB cleared assistant, and 11 children in care (3 infants; one 2-years-old; two 2.5- years-old; five 3-years-old). The facility is in ratio today. Hours of operation are Monday-Friday, 8:00AM to 5:30PM.

The facility is a single story 3-bedroom, 3 bath home, and attached studio ADU (formerly the 2-car garage). The home is owned by the licensee and contains a dining room, kitchen, living room, three bedrooms, three bathrooms, an enclosed (fenced) back and side yard areas, a separate atrium 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 away from the other children in care.

On-limit-areas include: Living room (day care area), kitchen, dining room, bedroom attached to the atrium (for napping) and the main house bathroom, the courtyard area, and locked backyard 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, studio ADU (formerly an attached 2-car garage), ADU bathroom, 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: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: PAREKH, CHETNABEN	FACILITY NUMBER: 015700264
	VISIT DATE: 10/31/2024

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Licensee has ample age-appropriate toys and learning materials. The home has a fully charged 3A40BC fire extinguisher, combination smoke/carbon monoxide detectors (tested and functioning), and a working telephone. The disaster drill log showed the last drill conducted was completed on 7/16/2024.

The licensee’s Health and Safety training is completed, and CPR/First Aid certificate is current and expires 1/06/2026. Licensee’s assistant does not have CPR/First Aid certificate. The licensee’s Mandated Reporter training (verified AB1207), expires on 7/25/2025. Assistant’s Mandated Reporter training expires on 9/06/2025. The licensee and assistant 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 acknowledgement is in each child’s file. 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 ADU door access, the master bedroom and second off-limits bedroom.

Children’s files were reviewed and were found to be complete and in good order. Infant Safe Sleep Plans (LIC9227) present and signed for all infants under 12 months, sleep logs maintained, in place and available for all infants up to 24 months.

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: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: PAREKH, CHETNABEN	FACILITY NUMBER: 015700264
	VISIT DATE: 10/31/2024

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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.

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 no deficiencies issued during today’s inspection. This report is to remain on file for 3 years.

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

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

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024

LIC809 (FAS) - (06/04)

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