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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422961
Report Date: 01/22/2025
Date Signed: 01/22/2025 12:13:45 PM

Document Has Been Signed on 01/22/2025 12:13 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:GUPTA, JAGDEEPFACILITY NUMBER:
013422961
ADMINISTRATOR/
DIRECTOR:		GUPTA, JAGDEEPFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 507-9583
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
01/22/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Jagdeep GuptaTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Jagdeep Gupta for the Annual Random Inspection. LPA disclosed the purpose of the Inspection and was granted entry into the Facility by the staff. Licensee arrived during the inspection. Present during this Inspection was the Licensee and two helpers, supervising two (2) infants and eight (8) preschoolers. The home is two-story with four bedrooms, 2.5 bathrooms, a living room, a family room, a kitchen, a dining room, a garage with a laundry room, and a backyard. The hours of operation are 8:30 AM- 5:30 PM, Monday -Friday. The Facility has liability insurance through Markel insurance.
ON-LIMIT AREAS are the entire first floor, which consists of the family room, half bathroom, living room, kitchen, dining room, and backyard.
OFF-LIMIT AREAS are the entire second floor and the garage.
LPA inspected the house for health and safety hazards. The family room is the main day care area equipped with ample of toys for children in care. The home has a working telephone, a working smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. During inspection, LPA did not observe any bodies of water. Licensee confirmed that there are no firearms in the house. A child safety gate is located at the bottom of the stairs to prevent access to the stairs and upper levels for children in care. There are child-size tables and chairs for snacks and activities.The Licensee's first aid and CPR expires on 10/8/2025. Both the helpers and Licensee have current mandated reporter certificates on the file.The Licensee provides daily snacks and meals. All required postings are properly posted. The Licensee has a complete record of 15-minute sleep checks. The facility roster was reviewed and a copy was obtained. The fire drill log indicates that the last fire drill was conducted on 12/2024.
see next page..
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GUPTA, JAGDEEP
FACILITY NUMBER: 013422961
VISIT DATE: 01/22/2025
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During the Inspection, the Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with the Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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.

Licensee was reminded about Mandated Reporter training available on the CCLD website. Training must be completed every two years. Training can be taken online at www.mandatedreporterca.com

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

No deficiency was cited today.
A notice of site visit was given and must remain posted for 30 days.
An exit interview was conducted, and the report was reviewed with the Licensee, Jagdeep Gupta.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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