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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700213
Report Date: 02/24/2022
Date Signed: 02/24/2022 10:32:21 AM

Document Has Been Signed on 02/24/2022 10:32 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SINGH, NEETUFACILITY NUMBER:
015700213
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
02/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Neetu SinghTIME COMPLETED:
10:45 AM
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On February 24, 2022 at approximately 9:04am Licensing Program Analyst (LPA) Haderer arrived for an unannounced case management visit for a capacity change inspection. Present in the home today was licensee Neetu Singh and at arrival, no children in care. During the inspection, 3 children arrived (1 infant, two 4 years old). Hours of operation remain the same at 8:30am to 6:00pm.

All requested documents were received for the increase of capacity application. The fire clearance for a capacity of 14 was received from the Fremont Fire Department on 02/17/2022. The Licensee was reminded to abide by the conditions of the fire clearance (children not allowed access to the garage). Pull down alarm has been installed in the living room near the front door.

The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

The facility is a single story 3-bedroom, 2 bath home with an attached two-car garage. It is rented by the licensee and contains a dining room, family room, kitchen, three bedrooms and two bathrooms, an enclosed (fenced) side and backyard area. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be on the sofa in the family room away from the other children in care. Licensee has ample age-appropriate toys and learning materials.

The home is a was toured and inspected for health and safety. There is a double-sided fireplace (accessible from dining room and living room) with glass doors containing child proof locks and one side also blocked with a portable shelving/toy rack. Per licensee, there are no firearms in the home. LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2022
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: SINGH, NEETU
FACILITY NUMBER: 015700213
VISIT DATE: 02/24/2022
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The home has a fully charged 2A10BC fire extinguisher mounted in the kitchen, working smoke detectors and carbon monoxide detector (tested and working), and working telephone.

The home on-limits and off-limits will remain the same as originally licensed:
ON LIMIT AREAS: Dining room, family room, kitchen, the first bedroom on the right side of the hallway for napping, the main house bathroom at the end of the hall, the gated and locked side yards and back yard area. All exterior gates have high latches with padlock availability. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products.
OFF LIMIT AREAS: Master bedroom and bathroom, second bedroom on the right-hand side of the hallway, next to the house bathroom and across from master bedroom, and attached two-car garage. The off-limit areas will be inaccessible by closed and/or locked doors and adult supervision.

The licensee’s CPR and First Aid certificate is current and expires 2-20-2023. The licensee completed and received a certificate in mandated reporter training (verified AB1207) on 2-4-2021. The licensee is in compliance with the immunization laws which pertains to day care providers. Licensee’s family is in compliance with immunization laws. Licensee was reminded that CPR/1st Aide and Mandated Reporter training is to be renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

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 reviewed guidance on operating safely during the Covid pandemic. Posters were present and the checking in process of children was reviewed.



There were no deficiencies cited today. This home is recommended for an increase of capacity as of 2-24-2022. The report will remain on file for three years. A notice of site visit was given and must remain posted for 30 days Exit interview conducted and report was reviewed with the licensee Neetu Singh.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2022
LIC809 (FAS) - (06/04)
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