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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415534
Report Date: 03/06/2025
Date Signed: 03/06/2025 11:15:54 AM

Document Has Been Signed on 03/06/2025 11:15 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:SALIMEI, OZRAFACILITY NUMBER:
013415534
ADMINISTRATOR/
DIRECTOR:
SALIMEI, OZRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 657-3651
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
03/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:04 AM
MET WITH:Ozra SalimeiTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On March 6, 2025 at approximately 8:04am Licensing Program Analyst (LPA) Randy Miranda met with licensee Ozra Salimei for the purpose of conducting an unannounced annual inspection for Health and Safety. Living in the home is the licensee, her fingerprint and TB cleared husband, and fingerprint and TB cleared, adult son. Present during today’s inspection was the licensee, licensee’s son, and 4 children in care (two infants and two 2-years-old), the home is in ratio today. The hours of operation will remain Monday-Friday 8:00 AM to 6:00PM.

The facility is licensed as large (up to 14 children), however, licensee operates as a small (maximum 8 children) without an assistant.



The facility is a single-story home with 3 bedrooms; 2 bathrooms; living room; family room; dining room; kitchen; laundry room; attached 2-car garage; front, back and side yards. There is a water feature fountain in the off-limits area of the back yard, children are never allowed in the area. There is a screened fireplace in the off-limits living room. The home has heating and ventilation for safety and comfort. The licensee has a friendly small toy poodle. Per licensee, the poodle is current with her canine shots.

ON LIMIT AREAS: Master bedroom (converted to a day care area); the master bathroom for children; hallway leading from the front door to the master bedroom; and the enclosed patio play yard area with a picket fence and artificial turf that is accessible only from the master bedroom (day care area). Cabinets in the children’s bathroom have child-proof latches on all doors. 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.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 03/06/2025 11:15 AM - It Cannot Be Edited


Created By: Randy Miranda On 03/06/2025 at 10:21 AM
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: SALIMEI, OZRA

FACILITY NUMBER: 013415534

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2025
Plan of Correction
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Licensee will ensure to record sleep logs for all infants up to age 24 months and have available for deparment to review. Licensee will send copy of sleep logs to LPA by 3/13/2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Wynn Norona
LICENSING EVALUATOR NAME:Randy Miranda
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2025


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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: SALIMEI, OZRA
FACILITY NUMBER: 013415534
VISIT DATE: 03/06/2025
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OFF LIMIT AREAS: Remaining 2 bedrooms in the home; main house bathroom; kitchen; living room; family room; dining room; laundry room; attached 2-car garage; and backyard areas outside of the fenced in children’s area. The off-limit areas will be inaccessible by child gates, closed and/or locked doors and adult supervision.

ISOLATION AREA will be in the day care area, away from the other children in care.

The home is neat and clean. The outdoor play area is fenced and free from defects and dangerous conditions. 100% supervision is maintained when children are playing in the outdoor play area. There were ample age appropriate toys that were observed to be safe and in good condition. LPA did not observe hazardous materials or toxins accessible to children on the premises during the inspection.



There is a fully charged 3A40BC fire extinguisher located in the off limit kitchen area. There is a combination smoke/carbon monoxide detector (tested and functioning), telephone, and a first aid kit.The licensee conducts and documents Fire/Disaster Drills at least twice a year, and the log indicates a drill was conducted 12/16/2024. All required licensing documents are framed and posted and visible for public review.

Children's files were reviewed and found to be complete and in good order. The facility roster was reviewed, and a copy obtained. Two infants have Safe Sleep Plans available for viewing. A sleep log was available for one infant in care, however, one was not available for the second infant in care. Infant Safe Sleep Plans were completed, signed, and dated. Licensee carries childcare liability Insurance through DCI, the policy is in effect through 11/18/2025. The Licensee’s Health and Safety training is completed, pediatric CPR/First Aid certificate is current and expires on 11/23/2026. Licensee has proof of required immunizations, and mandated reporter (verified AB1207), expires on 01/01/2026. The licensee is in compliance with the immunization laws which pertains to day care providers.



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

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/.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
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: SALIMEI, OZRA
FACILITY NUMBER: 013415534
VISIT DATE: 03/06/2025
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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.

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.

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.

One deficiency was issued during today’s inspection. This report will 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 Ozra Salimei.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC809 (FAS) - (06/04)
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