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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700213
Report Date: 03/18/2022
Date Signed: 03/18/2022 02:47:26 PM

Document Has Been Signed on 03/18/2022 02:47 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:SINGH, NEETUFACILITY NUMBER:
015700213
ADMINISTRATOR:SINGH, NEETUFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 518-5653
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
03/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Neet SinghTIME COMPLETED:
02:58 PM
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On March 18, 2022 at approximately 12:53pm Licensing Program Analyst (LPA) Haderer arrived and met with licensee Neetu Singh for the purpose of conducting an unannounced 1-year annual inspection for Health and Safety compliance. Present for today’s inspection was the licensee, her fingerprint and TB cleared son and 6 children in care (3 two-years old; 1 three-years old; 2 four-years old). Living in the home are licensee’s fingerprint and TB test cleared husband ans adult son. Hours of operation remain the same at 8:30am to 6:00pm. LPA completed a Case Management inspection 3 weeks ago, therefore this inspection went quicker.

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 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 child safety gates for the kitchen area.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: 03/18/2022
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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.

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. Fire drills are conducted every 6 months, the last drill was done on 3/1/2022 (fire); 3-2-2022 (earthquake).

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 has ample age-appropriate toys and learning materials inside and outside the home. The outdoor play area is free from defects and dangerous conditions. Per licensee, there are no firearms in the home. Drop-down cribs are not allowed at the day-care facility. Toxins, medicines, and hazardous items were inaccessible during today's inspection.

At 1:30pm, LPA reviewed facility files including records for licensee and Children’s files. Children’s files were complete and well organized. The facility roster was reviewed, and a copy obtained. The licensee rents the property and does not have liability insurance (LIC282 signed and dated in every child's file).

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a 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, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
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: 03/18/2022
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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 [facility representative] 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.

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.

There were no deficiencies cited today.

This 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: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC809 (FAS) - (06/04)
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