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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422758
Report Date: 03/08/2024
Date Signed: 03/08/2024 03:48:19 PM

Document Has Been Signed on 03/08/2024 03:48 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:TRIPATHI, ANJUFACILITY NUMBER:
013422758
ADMINISTRATOR:TRIPATHI, ANJUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 666-6320
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
03/08/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Anju TripathiTIME COMPLETED:
04:00 PM
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On March 8th, 2024 at approximately 2:00pm Licensing Program Analyst (LPA) April Wright met with licensee Anju Tripathi for an Unannounced Required 1 Year Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Present during inspection were ten
(10) children (3 infants / 7 preschool age) and fingerprint cleared spouse Shailendra Tripathi and Assistant Nusratbibi Khan. LPA toured the facility to conduct a health and safety inspection. Hours of operation are 8:00am - 6:00pm Monday through Friday.

The single story home consists of four bedrooms, two bedrooms, living room, dining / kitchen area and back, side and front yard, and garage. The home was neat and orderly, with heating and ventilation for safety and comfort of children in care. The isolation area for sick children is bedroom #2 which is a section away from other children in care.
On limit areas include: Daycare room (bedroom #3 - opposite entry to home, next to prayer room bedroom #4), hallway bathroom, Bedroom #2 to the right in hallway, side yard.
Off-limits areas include: Front and back yard, Kitchen, Living Room, master bedroom (bedroom #1) and bathroom and garage. The off limits areas are and will be made inaccessible by closed and/or locked doors and visual supervision. There are no pools, hot tubs or any other bodies of water present in the on-limit areas during today’s inspection. LPA did not observe any hazardous materials, cleaning products or toxins accessible to children during today's inspection. There are age appropriate toys that appear to be safe and in good condition.

The home has a fully charged two (2) 2A10BC fire extinguishers, working smoke/carbon monoxide detectors, fully stock First Aid Kit. and telephone. There is a fireplace in the living room that has glass doors with child lock that is inaccessible to children in care. Per licensee there are no firearms or weapons in the home. Licensee does have pet rabbit which resides garage, children do not interact with the pet per licensee.
See LIC809 -C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2024
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: TRIPATHI, ANJU
FACILITY NUMBER: 013422758
VISIT DATE: 03/08/2024
NARRATIVE
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The licensee is in compliance with the immunization laws which pertains to all childcare providers.
LPA requested and reviewed the files of six (6) children in care. The children's files contained, Parents rights, medical consent forms and identification and emergency contacts. The facility roster was review and copies were obtained. The licensee conducts fire and disaster drills twice a year and the last was conducted on 11/17/2023. The licensee has a current CPR/First aid certificate which expires on 9/2024. Mandated Reporter Training was completed on 11/4/2022. The licensee is in ratio today. All required forms are posted and visible for public review.

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.

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/.

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.

See LIC809C for continuance.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
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: TRIPATHI, ANJU
FACILITY NUMBER: 013422758
VISIT DATE: 03/08/2024
NARRATIVE
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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.

During the exit interview, the Licensee Tripathi, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Anju Tripathi.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
LIC809 (FAS) - (06/04)
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