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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422787
Report Date: 03/17/2025
Date Signed: 03/25/2025 04:10:10 PM

Document Has Been Signed on 03/25/2025 04:10 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:TRIVEDI, POOJA & ROHITFACILITY NUMBER:
013422787
ADMINISTRATOR/
DIRECTOR:		TRIVEDI, POOJAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(313) 515-5514
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
03/17/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 AM
MET WITH:Pooja TrivediTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 3/17/2025 at 12:10PM, Licensing Program Analyst (LPA) Jaleesa Jackson arrived for an Unannounced Annual/Random Inspection, and met with Licensee Pooja Trivedi. Present for this inspection were Licensee Rohit Trivedi, 8 preschool aged children, 4 infants, and two fingerprint cleared staff members. Also residing in home are the Licensee's two minor children. Licensee stated that her in laws live in an in law unit on the property and both have fingerprint clearance. The home was toured with the Licensee to conduct a health and safety inspection. Hours of operation for daycare are Monday through Friday, 9:00AM to 5:30PM.

ON LIMITS: Family room, Outdoor Bathroom, Backyard, and right side yard (used for entry way to day care)
OFF LIMITS: Garage, All four bedrooms, Hallway bathroom, Living room, Kitchen, Dining area, Master bathroom, Left side yard, Outdoor shed, In-law unit, and Front yard. Off limit areas are inaccessible by closed and/or locked doors, gates, child safety locks, and visual supervision.

The home is single story owned by the Licensees with heating and ventilation for safety and comfort. The entrance to the daycare is the gate on the right side of the house. There were age appropriate toys that were observed to be safe and in good condition. During today's inspection all toxins, medicines, and hazardous items were inaccessible. There was a fully charged 2A10BC fire extinguisher, working carbon monoxide, smoke detector, and telephone at the premises. The Licensee provides all food for the children. All food that is brought from the children’s home will be properly labeled and stored. LPA did not observe any harmful bodies of water in or around the home. Licensee stated that there are no firearms, pets or smoking in the home.

Continued 809-C
NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Jaleesa Jackson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: TRIVEDI, POOJA & ROHIT
FACILITY NUMBER: 013422787
VISIT DATE: 03/17/2025
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LPA reviewed 10 children's files were reviewed and found to be complete. Licensees has current daycare insurance. The Licensees are in ratio today. Both Licensees have current CPR and First Aid expiring 7/2025 and 9/2025. Both assistants have current CPR as well both expiring 12/2025. Both Licensees and assistants have current mandated reporter training. The licensee conducts and documents disaster drills. The last fire drill was conducted 12/3/24 and the last earthquake drill was conducted 12/2/24. All required licensing documents are posted and visible for public review.

There were no deficiencies were cited for today's inspection.

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 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.

Continued 809-C

NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Jaleesa Jackson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: TRIVEDI, POOJA & ROHIT
FACILITY NUMBER: 013422787
VISIT DATE: 03/17/2025
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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/.

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.

During the exit interview, the LICENSEE Pooja Trivedi, 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 the licensee Pooja Trivedi.

NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Jaleesa Jackson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
LIC809 (FAS) - (06/04)
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