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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422894
Report Date: 07/29/2024
Date Signed: 07/29/2024 11:26:28 AM

Document Has Been Signed on 07/29/2024 11:26 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:RAIKAR, KIRANFACILITY NUMBER:
013422894
ADMINISTRATOR/
DIRECTOR:		RAIKAR, KIRANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 203-0214
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
07/29/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Kiran RaikarTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On July 29, 2024, at approximately 10:00 AM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with licensee Kiran Raikar for the purpose of conducting an unannounced 1-Year Required Annual inspection for Health and Safety Inspection. Present for the inspection was one (1) fingerprint and TB cleared staff S. Medina, Licensee fingerprint cleared son and mother, and seven (7) preschool children in care. Licensee provides care for children starting at the age of 2.5 years. Hours of operation Monday - Friday 8:15 am to 5:30pm.

The facility is a two story home consisting of 2 Bedrooms and two bathrooms.

ON LIMITS AREAS: Kitchen, living room (main daycare area), one bedroom across from the bathroom, main bathroom, and the rear yard.

OFF LIMITS AREAS: Loft upstairs, master bedroom and bathroom, attached two car garage, and entire second floor (loft). Isolation Area: A section in the living room away from the children in care. Off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by supervision.

The home is neat and clean, with heating and ventilation for safety and comfort. The facility had a working smoke detector and carbon monoxide detector (both tested and functioning), working telephone, fully stocked first aide kit and fully charged 3A40BC fire extinguisher (kitchen). Per licensee, there are no firearms in the home. Per licensee, she resides in the home, does not provide transportation and confirmed there are no pools/hot tubs at the home during today's visit. LPA did not notice any bodies of water such as pools or hot tubs during today's visit. There are no hazard material accessible to children during today's visit all poisons, detergents, and medication were also inaccessible to children in care. The fireplace is screened off in the living room to prevent access to children in care.

809-C
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: RAIKAR, KIRAN
FACILITY NUMBER: 013422894
VISIT DATE: 07/29/2024
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OUTDOOR AREA: The facility’s outdoor play space is located in the rear of the home and is fully fenced. There is play equipment and swing set that is clean, safe condition and free from hazards which could pose a risk to children in care. There is a canopy to provide shade and gates are closed at all times while children are in the yard. There are no pools, hot tubs or any other bodies of water present at the time of the inspection. There is a shed that is lock to prevent access to children in care.

LPA Breaux requested and reviewed children and staff files at 10:30 AM. Three (3) children files and staff files were reviewed. All files contained Immunization, Parent's Rights, and Medical Consent forms. The facility roster was reviewed, and copies were obtain. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 03/04/2024. The licensee's Health and Safety training is completed, and CPR and First Aid certificate, assistant CPR/First Aide is current and expires 09/2/2025. All required forms are posted and visible for public review. Per licensee does not administer medication.

Effective August 1, 2003, California Law requires Family Child Care 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 form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the licensee that all forms can be downloaded at www.ccld.ca.gov and encouraged the licensee to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com. Licensee was reminded that any structural changes or additions to the home must be reported to Community Care Licensing. Children’s Roster must be properly maintained, and fire/disaster drills must be conducted every six (6) months and documented.

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/.

809-C

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

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
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: RAIKAR, KIRAN
FACILITY NUMBER: 013422894
VISIT DATE: 07/29/2024
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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 web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Assistant 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. (per licensee does not provide care for children under 24 months)

MyChildCarePlan.org: 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.

Megan’s Law: During the exit interview, the licensee, Kiran Raikar confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights provided. Exit interview conducted and report was reviewed with the Licensee, Kiran Raikar..

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

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
LIC809 (FAS) - (06/04)
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