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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004781
Report Date: 06/22/2021
Date Signed: 06/22/2021 12:08:40 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BASU, KASTURIFACILITY NUMBER:
414004781
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
06/22/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kasturi BasuTIME COMPLETED:
12:20 PM
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Licensing Program Analysts (LPA) Mok conducted a Prelicensing inspection with an applicant, Kasturi Basu, today. There were no children present. The applicant applied for a Family Child Care Home License on 3/22/2021. The applicant owns a 2 stories single-family house with 4 bedrooms, 3 bathroom, kitchen, living room, dining room, garage, and backyard. All adults have fingerprint clearance. The applicant lives with her husband and her daughter in the house. The daycare areas are a family room, a bathroom by the garage, and kitchen. The off-limit areas are the entire 2nd level, living room, dining room, utility room next to the garage, garage, and backyard. LPA inspected the facility for health and safety hazards. The applicant had plenty of age-appropriate toys, books, learning material & equipment, and children's furniture available for children. The applicant installed a child-proof gate at the entrance of the family room, and stairway. There was a fully charged 2A10BC fire extinguisher and working smoke and carbon monoxide detectors, and first aid supplies available in the house. All electrical outlets were covered in the daycare areas. Mat will be available for napping. The lower drawers and cabinets in the kitchen were either lathed or free of harmful objects. The children's bathroom was clean. The lower bathroom cabinet and drawers were free of dangerous items. The applicant had current Poisoning Prevention Training. LPA discussed baby bouncers, baby walkers, exersaucer, Nap Nanny, Napping Portable, and other similar items are not allowed in daycare areas with the applicant. LPA also discussed with the applicant about Immunization for staff during the inspection. LPA also discussed IMS with the applicant. A sample of the IMS was provided to the applicant during the inspection. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. LPA provided a copy of the IMS to the applicant as a sample during the inspection. LPA discussed the new Safe Sleep Regulations. LPA also discussed a child Care Provider’s Guide to Safe Sleep and left a copy of the handout with the applicant during the inspection. The applicant should have the Thermometer, hand sanitizer, & disinfectant available in the house to prevent COVID19. The hand sanitizer and disinfectant must be stored in a higher place to prevent children's access to them.

The following items have to be completed before licensure:

· 8 hours of preventive Health & Safety Training.
  • child proof knobs have to be installed to the door between kitchen and dining room, pantry door, and utility door.
  • Sharp corner protector has to be installed to the cabinets in the family room.
  • Applicant has to mount the metal shelve to the wall in the family room.
  • First Aid kit
  • Touchless Thermometer.


LPA provided and explained a list of Records to be Maintain in the facility with the applicant to use for all children in care. This report will be kept in the facility file and shall be made available for public review upon request. Website for forms and regulations: www.ccld.ca.gov
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
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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