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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422541
Report Date: 08/29/2023
Date Signed: 08/29/2023 04:33:26 PM

Document Has Been Signed on 08/29/2023 04:33 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:WARAICH, SANDEEPFACILITY NUMBER:
013422541
ADMINISTRATOR:WARAICH, SANDEEPFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 803-1083
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
08/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Sandeep WaraichTIME COMPLETED:
04:30 PM
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On 08/29/2023 at approximately 12:50PM Licensing Program Analyst (LPA) Jaleesa Jackson arrived for an unannounced required inspection and met with Licensee Sandeep Waraich. Present for todays visit was the licensee, two fingerprint cleared staff, 3 infants, 6 preschool aged children, and licensees preschool aged son. The other adults residing in the home are the licensee's husband, licensees mother in law, and father in law. All adults present during today's visit are fingerprint cleared. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation for the day care are Monday through Friday, 8:30am to 6:00pm.

ON LIMITS: bathroom #1 in the main day care area, fenced backyard, main day care area (located in the back left side of the house), hallway entry (isolation area)
OFF LIMITS: Entire second floor, garage, 4 bedrooms, bathroom #2, kitchen, dining area, left and right-side yards, family room, and front yard. Off limit areas are inaccessible by closed and/or locked doors, gate for the staircase, and visual supervision.

The home is neat with heating and ventilation for safety and comfort. LPA also observed that the backyard area is free of sharp and potential hazardous items and has a tree that provides shade to the children in care. There were ample toys that were observed to be safe and in good condition. During todays visit all toxins, medications, and hazardous materials were inaccessible to children. There is a fully charged 2A10BC fire extinguisher, working dual carbon monoxide and smoke detector, and telephone at the facility. There is a fireplace present in the home in an off-limits area. There are no firearms or bodies of water present during today’s inspection. There are two small birds at the home.

Continued 809C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: WARAICH, SANDEEP
FACILITY NUMBER: 013422541
VISIT DATE: 08/29/2023
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The licensee conducts and documents fire drills. The log indicates a drill was conducted 06/07/2023. All required licensing documents are posted and visible for public review. During todays visit 9 children's files were reviewed and found to be complete. The children's roster was reviewed and a copy obtained. The licensee is in ratio for today's visit. The facility provides snacks in the morning and afternoon as well as lunches. The children have accessible drinking water inside and outside of the facility.

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.

Family Child Care Homes 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-andresources/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.

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/.

Continued 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023
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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: WARAICH, SANDEEP
FACILITY NUMBER: 013422541
VISIT DATE: 08/29/2023
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the licensee Sandeep Waraich.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/29/2023 04:33 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 08/29/2023 at 03:31 PM
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: WARAICH, SANDEEP
FACILITY NUMBER: 013422541

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(b)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above by having blankets inside play yard with children are sleeping which poses a potential health, safety risk to persons in care.
POC Due Date: 09/12/2023
Plan of Correction
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Review safe sleep guidelines on CCLD website with staff and submit a brief summary about infant safe sleep.
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

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 by not documenting infant sleep logs which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/12/2023
Plan of Correction
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Document and submit sleep logs for all infants and email to LPA Jaleesa Jackson.
jaleesa.jackson@dss.ca.gov
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:Jason Jang
LICENSING EVALUATOR NAME:Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:
DATE: 08/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/29/2023


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