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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423478
Report Date: 01/23/2025
Date Signed: 01/23/2025 12:02:21 PM

Document Has Been Signed on 01/23/2025 12:02 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, POOJAFACILITY NUMBER:
013423478
ADMINISTRATOR/
DIRECTOR:		GUPTA, POOJAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 242-4686
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
01/23/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Licensee, Pooja Gupta TIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Pooja Gupta for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Present during the inspection were the Licensee and her helper, supervising two (2) infants and five (5) preschoolers. The two-story home has four bedrooms, 4.5 bathrooms, a living room, kitchen, dining room, laundry room, loft, garage, backyard, and an in-law suite. The hours of operation are 8:00 am to 5:30 pm, Monday through Friday.

On-limit areas: The in-law suite (main daycare area) consists of two bedrooms and a bathroom. Half of the backyard is converted into a play area. The outdoor play area is accessed through a separate entrance on the left side of the main door, via the patio area. Off-limit areas: The second floor, the first-floor half bathroom located near the stairs, the garage, and half of the backyard. All off-limit areas are inaccessible via closed and locked doors with visual supervision.

LPA inspected the house for health and safety hazards. The daycare area is equipped with age-appropriate toys both indoors and outdoors. The home has a working telephone, a working smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. During today's inspection, LPA did not observe any bodies of water. There is a fireplace in the living room, the licensee stated that it is not in use during operational hours and it is screened. The fire drill log indicates a drill was conducted on 12/2024. There are child-sized tables and chairs for snacks and activities. Each child has a separate cot and bedding. Per licensee, the bedding is washed by the parents weekly. The Licensee confirmed during the inspection that there are no guns or weapons of any kind in the home. There are no pets in the house. The Licensee has current CPR and First aid certification, which expires in 1/2026. Both the Licensee and helper have current Mandated Reporter certificates on file. The Licensee provides daily snacks and two meals. LPA reviewed the children's and staff files, and all the files are complete.All required postings are properly posted.

see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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, POOJA
FACILITY NUMBER: 013423478
VISIT DATE: 01/23/2025
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During Inspection, 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 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 CCLD website. Training must be completed every 2 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 is cited today.

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

Exit interview conducted and report was reviewed with the licensee, Pooja Gupta.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC809 (FAS) - (06/04)
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