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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421011
Report Date: 01/30/2025
Date Signed: 01/30/2025 02:48:14 PM

Document Has Been Signed on 01/30/2025 02:48 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:JAVED, AYESHAFACILITY NUMBER:
013421011
ADMINISTRATOR/
DIRECTOR:		JAVED, AYESHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 524-0351
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
01/30/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Licensee, Ayesha JavedTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Ayesha Javed for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Present during this inspection were the Licensee and her husband, supervising ten (10) children (three infants, six preschoolers, and one school-age child). The home is two stories with four bedrooms, three bathrooms, a living room, a family room, a kitchen, a dining room, a laundry room, a garage, and a backyard. The hours of operation are 8:00 am to 6:00 pm, Monday through Friday.
On-limit areas: the family room, kitchen, dining room, and living room (main daycare area).
Off-limit areas: the entire second floor and garage. All off-limit areas are inaccessible by closed and locked doors and visual supervision.
LPA inspected the house for health and safety hazards. The home has a working telephone, a smoke and carbon monoxide detector, and a fire extinguisher meeting the minimum requirements. During today's inspection, LPA did not observe any bodies of water. The fireplace in the living room is not in use during operational hours and is screened to prevent access to the children. There is a safety gate at the base of the stairs to prevent access to the second floor. The fire disaster drill log indicates that a drill was conducted on 01/29/2025. Infants have separate cribs. Per Licensee, the parents wash the blankets and sheets weekly. The Licensee confirmed during the visit that there are no guns or weapons in the home. There are no pets in the house. The outdoor play area is fenced and free from defects and dangerous conditions. The Licensee's CPR and First Aid certification expired on 10/22/2025. Licensee and her husband have current Mandated Reporter Certificates on the file. The Licensee provides daily snacks and meals. LPA reviewed children's files. The licensee documents 15-minute sleep checks. The facility roster was reviewed, and a copy was obtained.
see next page..
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: JAVED, AYESHA
FACILITY NUMBER: 013421011
VISIT DATE: 01/30/2025
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During Inspection, 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.

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.



Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

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.

No deficiency is cited today.

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

Exit interview conducted and report was reviewed with the licensee, Ayesha Javed.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
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