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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423308
Report Date: 07/12/2022
Date Signed: 07/12/2022 01:03:52 PM

Document Has Been Signed on 07/12/2022 01:03 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NLN, LOVEPREETFACILITY NUMBER:
013423308
ADMINISTRATOR:NLN, LOVEPREETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 401-7634
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 9DATE:
07/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:02 PM
MET WITH:Lovepreet NLN- LicenseeTIME COMPLETED:
01:13 PM
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On 7/12/22 at 12:02pm, Licensing Program Analyst Briana Plumboy met with licensee Lovepreet NLN for an UNANNOUNCED ANNUAL RANDOM INSPECTION. Present was 3 infants, 4 preschool age children, licensees 2 school age children and licensee's fingerprint clear and associated assistant Evelin Martinez. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 8:45am until 5:30pm.
The home is single story. When entering into the home through the front door, the home consists of a living room, garage on the right, kitchen, family room, 3 bedrooms, a master bedroom/bathroom, and a hallway bathroom. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are garage, the master bedroom/bathroom and the bedroom located on the left side of the hallway which will be inaccessible by closed and/or locked doors and visual supervision. The ON LIMIT AREAS are the living room which has been converted into a playroom/classroom, kitchen, family room, the first and second rooms on the right side of the hallway, the patio located between the first and second bedrooms on the right side of the hallway, and the hallway bathroom. The ISOLATION AREA will be the second room located on the right side of the hallway. Outdoor play area will be on the patio which is enclosed on all sides, and the enclosed backyard which is enclosed on all sides. The backyard can be accessed through the master bedroom/bathroom, family room, and has a side gate which leads to the front of the home. There are ample age appropriate toys that are safe and appeared to be clean. There are no pools, hot tubs or any other bodies of water on the premises present during today's inspection. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible during todays inspection. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The licensee Lovepreet NLN's CPR and First Aid certificate is current and expires 10/2/23 and assistant Evelin Martinez's expires 7/28/23. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review. The licensee and her assistant present are in compliance with the immunization law. The licensee last document disaster drill was on 11/06/19. The licensee received a certificate of completion in mandated 7/3/22, and assistant Evelin Martinez received her certificate on 6/28/21. The fireplace is barricaded. Per licensee Lovepreet NLN there are no fire arms in the home. See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NLN, LOVEPREET
FACILITY NUMBER: 013423308
VISIT DATE: 07/12/2022
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Incidental Medical Services (IMS) policy was discussed. 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: http://www.ada.gov/childqanda.htm

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov



LPA discussed the safe sleep regulations with licensee Lovepreet NLN 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 Lovepreet NLN 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.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Lovepreet NLN.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
LIC809 (FAS) - (06/04)
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