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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421071
Report Date: 05/05/2023
Date Signed: 05/05/2023 11:43:17 AM

Document Has Been Signed on 05/05/2023 11:43 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NAGAR, ALPAFACILITY NUMBER:
013421071
ADMINISTRATOR:NAGAR, ALPAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 425-0061
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
05/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Alpa NagarTIME COMPLETED:
12:05 PM
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On May 5, 2023 at approximately 10:30AM Licensing Program Analyst (LPA) Lorraine Dacanay Breaux arrived a the home and was granted entry by licensee, Alpa Nagar. LPA Breaux met with licensee Alpa Nagar for the purpose of conducting an Unannounced 1 year required Annual Inspection. Present in the home for today’s inspection was the licensee, and 1 infant (17 months) child were in care. The hours of operation will be Monday - Friday, 8:30 AM to 5:30 PM.

This is a two story home, 4 bedrooms and three bathrooms. On limits area consist of the family room, living room, kitchen, bathroom on first floor in hallway on the left side (across from the garage). Off Limits: The entire second floor, all upstairs bedrooms, including master bedroom/bathroom, the bedroom located on the first floor, garage, and front yard. Per the licensee, the ISOLATION AREA will be in the on limits family room away from the other children in care. Off limits area is made inaccessible by use of gates, closed doors and visual adult supervision. The fireplace is located in the family room and is blocked with glass door. The home has heating and ventilation for safety and comfort. Licensee does not provide meal to children in care.

Per licensee, there are no firearm in the home. All Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored and inaccessible to children. Licensee has age-appropriate toys and learning materials. The home has a fully charged 2A10BC fire extinguisher located in the kitchen near the sliding door. Smoke detector, carbon monoxide detector and a working telephone. The home has an approved fire clearance for up to 14 children dated 11/4/19. Fire inspector indicates that children are not permitted on the second floor or garage. Licensee is reminded that an assistant is required when operating as a large.

LPA reminded licensee of the following: Mandated Reporter training is to be renewed every two years; CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NAGAR, ALPA
FACILITY NUMBER: 013421071
VISIT DATE: 05/05/2023
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The outdoor area was inspected, due to the licensee starting repairs on the yard, licensee has requested for the yard to be off limits.

The licensee completed the Health and Safety training, CPR/First Aid is current and expires on 03/24/25. The licensee conducts and documents fire and disaster drills twice a year last one was on 04/07/23 . Facility roster reviewed and copy obtained. All required forms are posted and visible for public review.

The licensee was reminded that baby bouncers, exersaucers, johnny jumpers and similar items are not allowed in licensed day care.

Incidental Medical Services (IMS) policy was discussed. Per director, currently there are no children on medication. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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: http://www.ada.gov/childqanda.htm

Licensee [or facility representative] 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 [or facility representative] 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 [facility representative] 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.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
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: NAGAR, ALPA
FACILITY NUMBER: 013421071
VISIT DATE: 05/05/2023
NARRATIVE
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Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

Licensee was reminded of the responsibility as a mandated reporter and the mandated reporter training (“General” and Child Care Providers”) is required to be renewed every two years by visiting www.mandatedreporterca.com.

California Law requires Family Childcare Home licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury for (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail and the written report (LIC 624) must be submitted within 7 business days.

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.

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 [or facility representative] Alpa Nagar

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC809 (FAS) - (06/04)
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