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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423426
Report Date: 01/18/2024
Date Signed: 01/18/2024 08:18:05 AM

Document Has Been Signed on 01/18/2024 08:18 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:BAWAZIR, FOUZIYAFACILITY NUMBER:
013423426
ADMINISTRATOR:BAWAZIR, FOUZIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(630) 337-0513
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
01/18/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:31 AM
MET WITH:Fouziya BawazirTIME COMPLETED:
11:38 AM
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Licensing Program Analyst Sidney Cortez, met with licensee Fouziya Bawazir for an UNANNOUNCED ANNUAL RANDOM INSPECTION. Present for this visit was the licensee, her fingerprinted cleared assistant Kalpana Shreshtha and 4 kindergarten age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 6:00AM until 6:30 PM, MONDAY-FRIDAY.
The home is single story, which consists of a kitchen, dining/play room, living room, three bedrooms, two bathrooms, garage and a backyard. The home is neat and clean with heating and ventilation for safety and comfort.


The areas which will be used for child care (ON LIMITS) are the kitchen, dining/play room, living room, the two bedrooms on the left in hallway, hallway bathroom and the backyard. The isolation area will be the second bedroom in hallway. The OFF LIMIT areas will be the master bedrooms/bathroom and garage, which will be inaccessible by closed and/or locked doors and visual supervision. The isolation area (when a child gets sick during care: is the 3rd room at the end of the hall in the left. The outdoor play area has a fence surrounding the perimeter of yard, and is free from defects or dangerous conditions. There are ample age appropriate toys and furnishings that are safe and in good repair. 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 today's inspection.


The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee Health and Safety training is completed and CPR and First Aid certificates are current and expires in Jan 2025. The licensee is in compliance with new immunization laws which pertain to day care providers. Per applicant, there are no firearms in the home. The licensee's mandated reporter training is current and expires (March 2024). Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on Dec 2023. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2024
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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