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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004781
Report Date: 09/27/2023
Date Signed: 09/27/2023 03:47:22 PM

Document Has Been Signed on 09/27/2023 03:47 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BASU, KASTURIFACILITY NUMBER:
414004781
ADMINISTRATOR:BASU, KASTURIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 303-9293
CITY:FOSTER CITY,STATE: CAZIP CODE:
94404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
09/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:24 PM
MET WITH:Kasturi BasuTIME COMPLETED:
04:00 PM
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On September 27, 2023, Licensing Program Analysts (LPAs) Maria Olguin-Leon and Jonathan Tse met with Licensee, Kasturi Basu for an unannounced annual. The purpose of the inspection was explained. Present today was Licensee, licensee’s husband, helper and 3 children (2 preschool age and 1 school-age). All adults working at facility have fingerprint clearance. Licensee is operating within capacity and ratio requirements on this day. Hours of operation are Monday– Friday, 8:30 am - 5:30pm.

LPA’s and Licensee toured the home for health and safety hazards. Licensee owns a two story home.
Day Care Areas: Entrance hallway, bathroom, kitchen, family room (main classroom), outside deck nap room (second classroom). Off Limits Areas: Living room, utility room, grassy portion of the yard and entire 2nd floor. Staircase is properly barricaded with a child proof gate. Fireplace in living room is off-limits. Home is well lit and has proper ventilation. Cleaning supplies and other potentially harmful items are stored inaccessible to the children. Licensee was advised to not store cleaning products in cabinets accessible to children. All electrical outlets are secured with childproof covers. There are plenty of age-appropriate toys, books, child size furnishings, learning material, and sleeping mats. Backyard has plenty of age-appropriate play toys, play slide and kids table. Outdoor wood deck area is used for childcare and is equipped with a foam mat under slide to cushion falls. There is a jacuzzi located off the wood deck and is barricaded with childproof gate and jacuzzi is properly covered. Backyard is surrounded with a fence that is at least 5 feet high.

Home is equipped with working carbon monoxide and smoke detectors and a fully charged fire extinguisher. Isolation area for ill children will be in entrance hallway and away from other children. First aid kit is fully stocked with supplies. Licensee uses a cell phone on the premises. Per licensee there are no weapons or firearms in the home. Parents provides sheets for sleeping mats and the sheets are washed weekly or when soiled.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2023
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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BASU, KASTURI
FACILITY NUMBER: 414004781
VISIT DATE: 09/27/2023
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LPAs reviewed 4 children’s records and all files were complete. Licensee's CPR/FA expires 8/2025. Licensee's Mandated Reporter training expires 8/2025. Licensee provides snacks in the morning and afternoon to children in care. Children bring lunch from home. LPAs reminded Licensee to label children's food/bottles brought from home. LPAs observed Childcare License, Emergency Disaster Plan (LIC610A) and Parent's Rights posted. The last emergency drill was conducted on 06/2023. LPAs reminded licensee about the requirement to post an Earthquake Preparedness Checklist (LIC9148).

Licensee 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.

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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPAs reviewed AB 1207 with the Licensee.

As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. LPAs reminded licensee about Mandated Reporter training available www.mandatedreporterca.com

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BASU, KASTURI
FACILITY NUMBER: 414004781
VISIT DATE: 09/27/2023
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LPAs 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. LPAs 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.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.



Licensee was informed of the MyChildCarePlan.org website; 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.

During the exit interview, the licensee, Kasturi Basu, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations

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

Exit interview conducted and report was reviewed with the licensee, Kasturi Basu.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC809 (FAS) - (06/04)
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