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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422277
Report Date: 04/23/2024
Date Signed: 04/23/2024 02:08:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240402161309
FACILITY NAME:RATHI, SARIKAFACILITY NUMBER:
013422277
ADMINISTRATOR:RATHI, SARIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 556-7291
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 10DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Licensee Sarika RathiTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Operation of a Family Child Care Home - Licensee did not keep the home free from an outbreak.

2. Operation of a Family Child Care Home - Licensee did not properly maintain the home.

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/23/2024 at 11:40 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a subsequent Complaint Investigation Visit. LPA met with the Licensee Sarika Rathi and explained the nature of the site visit. Present on this visit were, Licensee’s Spouse, Licensee’s Assistants Farjanaparveen Lnu and Bridgette Acosta, 8 preschool children and 2 infants. The home operates from Monday to Friday 8:30 AM to 5:30 PM.

The findings for the above allegations were delivered during the visit.

Reporting Party (RP) alleged that the Licensee did not properly maintain the home and did not keep free from an outbreak.

LPA Estoesta conducted a Record Review, Staff and Children’s Authorized Representative Interviews.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240402161309

FACILITY NAME:RATHI, SARIKAFACILITY NUMBER:
013422277
ADMINISTRATOR:RATHI, SARIKAFACILITY TYPE:
810
ADDRESS:38846 CHERRY GLEN CMNTELEPHONE:
(510) 556-7291
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:TIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
3. Reporting Requirements - Licensee did not properly report an incident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/23/2024 at 11:40 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a subsequent Complaint Investigation Visit. LPA met with the Licensee Sarika Rathi and explained the nature of the site visit. Present on this visit were, Licensee’s Spouse, Licensee’s Assistants Farjanaparveen Lnu and Bridgette Acosta, 8 preschool children and 2 infants. The home operates from Monday to Friday 8:30 AM to 5:30 PM.

The finding for the above allegation was delivered during the visit.

Reporting Party (RP) alleged that the Licensee Licensee did not properly report an incident.

LPA Estoesta conducted a Record Review, Staff and Children’s Authorized Representative Interviews.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 52-CC-20240402161309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: RATHI, SARIKA
FACILITY NUMBER: 013422277
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/03/2024
Section Cited
CCR
102416.2(c)(3)
1
2
3
4
5
6
7
102416.2 Reporting Requirements (c) In addition to the events specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C), the licensee shall report the following events to the Department: (3) A communicable disease outbreak when determined by the local health authority.....
1
2
3
4
5
6
7
LPA recommend scheduling a staff meeting with her Assistants, to review and discuss the following link and videos,
Clean and disinfect https://www.cdc.gov/hand-foot-mouth/about/prevention.html. Clean and disinfect frequently touched surfaces and shared items, such as toys and doorknobs.
Hand, Foot, and Mouth Disease (HFMD) https://www.cdc.gov/hand-foot-mouth/index.html
Communicable Disease https://acphd.org/communicable-disease/
Children’s Personal Rights in Child Care https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/
Child Care Reporting Requirements https://ccld.childcarevideos.org/family-child-care-providers/child-care-reporting-requirements/
Licensee will document the minutes of meeting, the attendance and will submit as a POC proof to the Regional Office by mail on or before the POC due date. Licensee also will share the above information to the Children’s Authorized Representative.....
8
9
10
11
12
13
14
This requirement is not met as evidenced by, Record Review, Staff and Children’s Authorized Representative Interviews. Record Review showed the following statements, in December 2024, “everyday one kid is going home sick,” and “they have got HFM (Hand, Foot, and Mouth Disease).” In February 2024, “let’s wait and see if there are other cases of HFM.” On LPA Interview statements there were multiple “outbreaks” in the home last year (2024), and Staff and Children’s Authorized Representative were notified and failed to follow the Reporting Requirement regulation which posed an potential risk to the health, safety, or personal rights of children in care.
8
9
10
11
12
13
14
LPA also discuss to Licensee to consider the Technical Support Program (TSP), a non-enforcement service of Community Care Licensing to help providers. TSP does not cite but instead helps providers improve their compliance. LPA discuss to the Licensee about 4Cs of Alameda County Child Care Providers Health & Safety Trainings https://4calameda.org/child-care-providers/health-safety-trainings and Workshops & Trainings https://4calameda.org/child-care-providers/workshops-and-trainings/
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 52-CC-20240402161309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RATHI, SARIKA
FACILITY NUMBER: 013422277
VISIT DATE: 04/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA Estoesta conducted a Record Review, Staff and Children’s Authorized Representative Interviews. Record Review showed the following statements, in December 2023, “everyday one kid is going home sick,” and “they have got HFM (Hand, Foot, and Mouth Disease).” In February 2024, “let’s wait and see if there are other cases of HFM.” On LPA Interview statements there were multiple “outbreaks” in the home last year (2023), and Staff and Children’s Authorized Representative were notified.

Licensee also failed to follow the Reporting Requirement regulation which posed an potential risk to the health, safety, or personal rights of children in care.

Based on LPA Estoesta's conducted interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is to be SUBSTANTIATED.

The licensee is in violation 102416.2 Reporting Requirements (c) In addition to the events specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C), the licensee shall report the following events to the Department: (3) A communicable disease outbreak when determined by the local health authority.

LPA Estoesta informed the Site Director that this report dated 4/16/2024 included a Type B Citation which shall be posted for 30 consecutive days as there is a potential risk to the health, safety, or personal rights of children in care.

See LIC 9099 D for the Plan of Correction (POC).

LPA discussed to Licensee that a plan of correction fee of two hundred dollars ($200) when the licensee does not implement a plan of correction on or prior to the date specified in the plan as per 102384(a)(b)(1)(H).

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below.


https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

Exit interview conducted and report was reviewed with the Licensee Sarika Rathi.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240402161309

FACILITY NAME:RATHI, SARIKAFACILITY NUMBER:
013422277
ADMINISTRATOR:RATHI, SARIKAFACILITY TYPE:
810
ADDRESS:38846 CHERRY GLEN CMNTELEPHONE:
(510) 556-7291
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 10DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Licensee Sarika RathiTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
4. Personal Rights - Licensee inappropriately grabbed a daycare child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/23/2024 at 11:40 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a subsequent Complaint Investigation Visit. LPA met with the Licensee Sarika Rathi and explained the nature of the site visit. Present on this visit were, Licensee’s Spouse, Licensee’s Assistants Farjanaparveen Lnu and Bridgette Acosta, 8 preschool children and 2 infants. The home operates from Monday to Friday 8:30 AM to 5:30 PM.
The finding for the above allegation was delivered on this visit.
The Reporting Party (RP) alleged Licensee inappropriately grabbed a daycare child.
LPA Estoesta conducted a Record Review, Staff and Children’s Authorized Representative Interviews.
Based on the interviews and information obtained throughout the investigation, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED.
Notice of site visit was given and must remain posted for 30 days. Exit interview conducted with the Licensee Sarika Rathi.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 52-CC-20240402161309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: RATHI, SARIKA
FACILITY NUMBER: 013422277
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/03/2024
Section Cited
CCR
102417(b)
1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.....
1
2
3
4
5
6
7
LPA recommend scheduling a staff meeting with her Assistants, to review and discuss the following link and videos,
Clean and disinfect https://www.cdc.gov/hand-foot-mouth/about/prevention.html. Clean and disinfect frequently touched surfaces and shared items, such as toys and doorknobs.
Hand, Foot, and Mouth Disease (HFMD) https://www.cdc.gov/hand-foot-mouth/index.html
Communicable Disease https://acphd.org/communicable-disease/
Children’s Personal Rights in Child Care https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/
Child Care Reporting Requirements https://ccld.childcarevideos.org/family-child-care-providers/child-care-reporting-requirements/....
8
9
10
11
12
13
14
This requirement is not met as evidenced by, Record Review showed the following statements, in December 2024, “everyday one kid is going home sick,” and “they have got HFM (Hand, Foot, and Mouth Disease).” In February 2024, “let’s wait and see if there are other cases of HFM.” On LPA Interview statements there were multiple “outbreaks” in the home last year (2024), and Staff and Children’s Authorized Representative were notified, which posed a potential risk to the health, safety, or personal rights of children in care.
8
9
10
11
12
13
14
LPA also discuss to Licensee to consider the Technical Support Program (TSP), a non-enforcement service of Community Care Licensing to help providers. TSP does not cite but instead helps providers improve their compliance. LPA discuss to the Licensee about 4Cs of Alameda County Child Care Providers Health & Safety Trainings https://4calameda.org/child-care-providers/health-safety-trainings and Workshops & Trainings https://4calameda.org/child-care-providers/workshops-and-trainings/
Type B
05/03/2024
Section Cited
CCR
102417(e)
1
2
3
4
5
6
7
102417 (e) When a child shows signs of illness, he/she shall be separated from other children and the nature of the illness determined. If it is a communicable disease, he/she shall be separated from other children until the infectious stage is over.....
1
2
3
4
5
6
7
LPA recommend scheduling a staff meeting with her Assistants, to review and discuss the following link and videos,
Clean and disinfect https://www.cdc.gov/hand-foot-mouth/about/prevention.html. Clean and disinfect frequently touched surfaces and shared items, such as toys and doorknobs.
Hand, Foot, and Mouth Disease (HFMD) https://www.cdc.gov/hand-foot-mouth/index.html
Communicable Disease https://acphd.org/communicable-disease/
Children’s Personal Rights in Child Care https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/
Child Care Reporting Requirements https://ccld.childcarevideos.org/family-child-care-providers/child-care-reporting-requirements/....
8
9
10
11
12
13
14
This requirement is not met as evidenced by, Record Review showed the following statements, in December 2024, “everyday one kid is going home sick,” and “they have got HFM (Hand, Foot, and Mouth Disease).” In February 2024, “let’s wait and see if there are other cases of HFM.” On LPA Interview statements there were multiple “outbreaks” in the home last year (2024), and Staff and Children’s Authorized Representative were notified, which posed a potential risk to the health, safety, or personal rights of children in care.
8
9
10
11
12
13
14
LPA also discuss to Licensee to consider the Technical Support Program (TSP), a non-enforcement service of Community Care Licensing to help providers. TSP does not cite but instead helps providers improve their compliance. LPA discuss to the Licensee about 4Cs of Alameda County Child Care Providers Health & Safety Trainings https://4calameda.org/child-care-providers/health-safety-trainings and Workshops & Trainings https://4calameda.org/child-care-providers/workshops-and-trainings/
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 52-CC-20240402161309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RATHI, SARIKA
FACILITY NUMBER: 013422277
VISIT DATE: 04/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Record Review showed the following statements, in December 2024, “everyday one kid is going home sick,” and “they have got HFM (Hand, Foot, and Mouth Disease).” In February 2024, “let’s wait and see if there are other cases of HFM.” On LPA Interview statements there were multiple “outbreaks” in the home last year (2023), and Staff and Children’s Authorized Representative were notified.

LPA concluded that Licensee did not properly maintain the home and did not keep the home free from an outbreak that resulted into multiple outbreaks in the home in the last 12 month period which posed a potential risk to the health, safety, or personal rights of children in care.

Based on LPA Estoesta's conducted interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is to be SUBSTANTIATED.

The licensee is in violation of 102417 Operation of a Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort, and (e) When a child shows signs of illness, he/she shall be separated from other children and the nature of the illness determined. If it is a communicable disease, he/she shall be separated from other children until the infectious stage is over.

LPA Estoesta informed the Licensee that this report dated 4/23/2024 included a Type B Citation which shall be posted for 30 consecutive days as there is a potential risk to the health, safety, or personal rights of children in care.

See LIC 9099 D for the Plan of Correction (POC).

LPA discussed to Licensee that a plan of correction fee of two hundred dollars ($200) when the licensee does not implement a plan of correction on or prior to the date specified in the plan as per 102384(a)(b)(1)(H).

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below.


https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

Exit interview conducted and report was reviewed with the Licensee Sarika Rathi

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7