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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700153
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:14:15 PM

Document Has Been Signed on 08/22/2024 03:14 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:AGARWAL, NEETUFACILITY NUMBER:
015700153
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
08/22/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Licensee, Agarwal NeetuTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Neetu Agarwal for a CASE MANAGEMENT VISIT - INCREASE IN CAPACITY. During this inspection, the License was supervising four (4) preschoolers. The Licensee lives in the house with her husband and two children. The two-story home consists of 4 bedrooms, five bathrooms, a living room, a dining room, a kitchen, a loft, a garage, and a backyard. The hours of operation are 8:00 am to 5:00 pm, Monday -Friday. The facility has an approved fire clearance from Dublin Fire Prevention Services.

Daycare area: The first floor consists of a living room, dining room, kitchen, bedroom (the main daycare area), adjacent bathroom, powder room in hallway, closet, and backyard.
Off-limit areas: the entire second floor and garage. All off-limit areas are inaccessible by closed and locked doors and visual supervision.

The home has a working telephone, a smoke and carbon monoxide detector, and a fire extinguisher meeting the minimum requirements. During today's inspection, no bodies of water were in the daycare area. The Licensee states there are no guns or weapons in the home. There are no pets in the house. The outdoor play area is fenced and is free from defects and dangerous conditions.
Staff-children ratios were discussed with the Licensee for a Large Family Childcare Home (FCCH).
If there is no helper, the Licensee will need to operate within the small FCCH in regard to ratios. If care is provided to the 7th and 8th child for a Small FCCH or the 13th and 14th child for a Large FCCH, the last two children need to be school-aged (6 years old).
Licensees are reminded that walkers, exersaucer, jumpers, bouncers, and similar items may not be used for children in care and shall be made inaccessible.
see next page..
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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: AGARWAL, NEETU
FACILITY NUMBER: 015700153
VISIT DATE: 08/22/2024
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During the Inspection, Licensees were 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 the 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.

Licensees were reminded about the Mandated Reporter training on the CCLD website. Training must be completed every two years. Training can be taken online at www.mandatedreporterca.com

Prior to approval, a Large family daycare license-
*Licensee's son needs to obtain a fingerprint clearance.

An exit interview was conducted, and the report was reviewed with the Licensee, Neetu Agarwal.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC809 (FAS) - (06/04)
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