376102203-9-19-2024-51-CC-AMAS-D99PNS-20240919112824

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376102203
Report Date: 09/19/2024
Date Signed: 09/19/2024 11:29:07 AM

Document Has Been Signed on 09/19/2024 11:29 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	JARIWALA, PARTHVI FAMILY CHILD CARE		FACILITY NUMBER:	376102203
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	09/19/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Parthvi Jariwala		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

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On 09/19/24 at 9:15 AM, Licensing Program Analysts (LPAs) Adriana Macias and Keturah Lane, conducted an announced Pre-Licensing inspection for the applicant. Upon arrival, LPA met with Parthvi Jariwala and present were husband Atit Jariwala and minor child. The two-story single-family home was toured and inspected to ensure an environment safe for the care and supervision of children.

During the inspection, LPA’s observed that the fire extinguisher, carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water in the home. The fireplace is screened and the staircase is barricaded. LPA's observed that fireplace is barricaded by a large moving gate that is covered by a heavy reclining chair. LPA was able to move the heavy chair and advised the applicant to add a second cover or gate as a further precaution. There is a working phone at the facility. Applicant states that there are no weapons in the home. Applicant states that they have sufficient financial resources to sustain the license. The applicant has toys and equipment available for the children and required documents have been posted in the home.

CPR and First Aid expire on 12/10/25. Preventative health practices course was completed on 07/20/24 which includes lead poison prevention training. Mandated reporter training was completed on 11/22/23 and expires on 11/22/25. Applicant immunization requirements were met as well as for other adults living at home. All adults living in Child Care Home Facility, have received criminal record and child abuse clearances or exemptions.

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SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JARIWALA, PARTHVI FAMILY CHILD CARE	FACILITY NUMBER: 376102203
	VISIT DATE: 09/19/2024

NARRATIVE

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Applicant will be using the following rooms for childcare: First floor living room, first floor half bathroom, first floor dining room, and first floor nook. Off-limit areas include: First floor master bedroom, first floor master bathroom, first floor storage, first floor kitchen, second floor attic, second floor bedroom 1, second floor bedroom 2, and second floor bathroom. Off-limit areas are inaccessible to children through the use of gates, child locks and gate at bottom of the stairs. The garage will also be off limits and is kept inaccessible through the use of a door knob cover on the door. Applicant has a partially fenced backyard. The side yard is open to the front yard, however, applicant placed a small movable baby gate to prevent children from going to the front yard. LPA advised supervision during outdoor activities to avoid children from going to the front yard.

LPA’s reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

The new provider packet was reviewed with the applicant including information on child abuse and unusual incident reporting. LPA’s provided information regarding the YMCA Resource center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.

Applicant was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The applicant, provided proof of control of property. Max capacity for license is for 8 children and LPA explained to applicant that her own children, if under age 10, count towards the capacity.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (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. (Cont. on page 3...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JARIWALA, PARTHVI FAMILY CHILD CARE	FACILITY NUMBER: 376102203
	VISIT DATE: 09/19/2024

NARRATIVE

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LPA’s discussed the safe sleep regulations with applicant, 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 applicant, 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.

On this date, 08/15/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: JARIWALA, PARTHVI FAMILY CHILD CARE	FACILITY NUMBER: 376102203
	VISIT DATE: 09/19/2024

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The following corrections are needed prior to the issuance of the license:

1. Outlet covers are needed in the dinning room, living room, and next to the fireplace.

Once all corrections are made and proof is sent to licensing, a license for 08 children may be granted. Applicant understands that proof of corrections must be submitted to Licensing within 30 days or the application may be denied. Applicant agreed to have corrections ready and emailed to LPA Adriana Macias by 5 days. Applicant agreed to comply with all regulations and laws governing family child-care homes.

Exit interview conducted and report was reviewed with the applicant, Parthvi Jariwala. A printed report was also issued to the applicant.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

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