015700002-8-10-2021-52-CC-LDBX-C5RTRD-20210810145722

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700002
Report Date: 08/10/2021
Date Signed: 08/10/2021 02:57:30 PM

Document Has Been Signed on 08/10/2021 02:57 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:	QADAR, FARISHTA		FACILITY NUMBER:	015700002
ADMINISTRATOR:	QADAR, FARISHTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 989-4298
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94566
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 12	DATE:	08/10/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Farisha Qadar		TIME COMPLETED:	03:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 08/10/2021 at about 1:15 PM Licensing Program Analysts (LPA) L. Dacanay Breaux met with applicant Farishta Qadar for an Unannounced 1- Year Annual Inspection. Present for this inspection were 3 minors, and 2 fingerprint cleared adults, Sara Moqim and Abdul Moqim. The home was toured to conduct a Health and Safety Inspection. Facility operating hours will be Monday thru Friday 7:00 AM to 6:00 PM. The home is two story. The home consists of five bedrooms, four and a half bathrooms, living room, dining room, kitchen, day care nap room, day care classroom, laundry room, an attached garage, and backyard. The home is clean and orderly with heating and ventilation for safety and comfort. OFF-LIMIT AREAS are: the entire second level, the living room, dining room, stair case, patio/deck is off limits (licensee is reminded if she would like to put back on limits LPA must return to inspect area), the garage which will be inaccessible by closed and/or locked doors and visual supervision. The staircase is barricaded by a child proof gate to prevent access by children. ON LIMIT AREAS are: the day care classroom (bedroom main level), day care nap room (family room), kitchen and half bathroom on the first floor, near the garage. Back yard, is completely fenced. Licensee was advised to always be present while children are in the back yard. Licensee is reminded that the shed and left side fence should always have a locked pad lock for the safety of the children in care. The ISOLATION AREA will be in the kitchen area. Required postings were all present. Postings included: License Emergency Disaster Plan Earthquake checklist Notification of Parents Rights Seatbelt safety laws Last Fire/Earthquake Drill: 08/09/2021 See 809 - C for continuance.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

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: QADAR, FARISHTA	FACILITY NUMBER: 015700002
	VISIT DATE: 08/10/2021

NARRATIVE

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There are ample age appropriate toys, play equipment and materials. There are no pools, hot tubs or any other bodies of water 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 today’s inspection.

The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, and fully stocked First Aid Kit. The licensee Health and Safety training is completed, and CPR and First Aid certificates are current and expire 10/10/2022. The licensee completed the Mandated Reporter Training on 02/05/2020. Licensee is reminded that CPR/First Aide and Mandated Reporter training is to be completed every two years. Licensee is in compliance with new immunization laws which pertain to day care providers.

The fireplace located in day care nap room is locked. Per licensee, there are no firearms in the home. Children’s files and facility files were reviewed and discussed, licensee is reminded to make sure to update and review files/forms.

Licensee was advised to move the parent board to the entry of the home, needs to be visible for parents upon entry/exiting.

Applicant is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, 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 .http://www.myccl.gov/

LPA also encouraged Licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, as well as all forms can be downloaded.

Individual Medical Services (IMS) policy was discussed. The Licensee is reminded that when any changes to the IMS plan is made, an updated 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 website at: http://www.ada.gov/childganda.htm.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

An exit interview was conducted with the licensee. No deficiencies were cited during today’s inspection. A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021

LIC809 (FAS) - (06/04)

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