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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700110
Report Date: 04/24/2024
Date Signed: 04/24/2024 02:40:25 PM

Document Has Been Signed on 04/24/2024 02:40 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:CHILLARIGE, SAILAJAFACILITY NUMBER:
015700110
ADMINISTRATOR/
DIRECTOR:
CHILLARIGE, SAILAJAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 918-5659
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
04/24/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Licensee, Sailaja Chillarige TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Sailaja Chillarige 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 this inspection were the Licensee and helper, who were supervising two (2) infants and nine (9) preschoolers. The licensee lives in the house with her husband and two kids. The two-story home has five bedrooms, 4.5 bathrooms, a living room, kitchen, dining room, mud room, laundry room, garage, and back yard. The hours of operation are Monday to Friday, 8:00 am to 5:30 pm. The facility has liability insurance through the DCI insurance.
ON-LIMIT AREAS are the first-floor bedroom with bathroom, half bathroom across from the bedroom, and dining room.
OFF-LIMIT AREAS are the entire second floor, kitchen, living room, mud room, and garage. All the off- limit areas are made inaccessible to children.
LPA inspected the house for health and safety hazards. The daycare Area is clean, orderly, and equipped with age-appropriate toys. 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 (off- limit area), which is screened to prevent access by children in care. The last drill was conducted on 1/16/2024 at 10:00am. There are child-size tables and chairs for snacks and activities. The napping room had cots in good condition and each child have their separate blankets. The bedding is washed weekly by the parents. Licensee have complete record of 15 minutes sleep check. The licensee states there are no guns or weapons of any kind in the home. Licensee has two pet dogs which are kept in the off-limit area. A child safety gate is located at the bottom of the stairs to prevent access to the stairs. The licensee has valid CPR. The licensee provides daily snacks and meals. Discipline policy is redirection. LPA reviewed children’s files. All the files are complete and up to date. The licensee stated that she uses the nearby park for the outdoor play area, and the licensee is reminded that 100% visual and physical supervision is required when going to and from the park.
See next page...
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
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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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: CHILLARIGE, SAILAJA
FACILITY NUMBER: 015700110
VISIT DATE: 04/24/2024
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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.

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

No deficiency is cited today.

Exit interview conducted and report was reviewed with the licensee, Sailaja Chillarige

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

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC809 (FAS) - (06/04)
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