015700257-9-28-2023-52-CC-LDBX-CW4STH-20230928140934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700257
Report Date: 09/28/2023
Date Signed: 09/28/2023 02:09:40 PM

Document Has Been Signed on 09/28/2023 02:09 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:	LANKE, ROHINI		FACILITY NUMBER:	015700257
ADMINISTRATOR:	LANKE, ROHINI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 279-8418
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94566
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	09/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Rohini Lanke		TIME COMPLETED:	02:25 PM

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On 09/28/2023 at 12:45PM Licensing Program Analysts (LPA) Lorraine Dacanay Breaux met with licensee Rohini Lanke for an UNANNOUNCED 1 Year Required ANNUAL INSPECTION. Present for the inspection were seven (7) toddlers and 1 fingerprint cleared assistant. Upon arrival LPA provided licensee a copy of the Entrance Checklist (LIC 126). The home was toured to conduct a Health and Safety Inspection. The facility currently operates Monday - Friday 08:30 AM - 6:00 PM.

The main house is off limits to daycare and the on limit areas is the Additional Dwelling Unit (ADU) in the rear of the home, and a portion of the rear yard that is closest to the ADU Unit. LPA observed the home to be neat and clean with central heating and ventilation for safety and comfort.

The OFF-LIMIT AREA: Entire main house (front house) are all of the rooms in the main house and are inaccessible to children by locked doors, safety gates and visual supervision. The ON-LIMIT AREA: Entire ADU unit at the rear of the main home, this unit has one bedroom, one bathroom, kitchen and living room area, and the rear yard closest to the ADU unit.

The facility outdoor space is fully fence and in safe condition free from hazards which could pose a risk to children in care, there is a canopy to provide shade and gates are locked at all times while children are in the yard. There is no pool or bodies of water during today's visit.

All hazardous materials and toxins are kept out of reach from children and are not accessible. The home has a fully charged 3A40BC fire extinguisher in the hallway closet, working smoke detector, carbon monoxide detector, pull down fire alarm system, telephone and fully stocked first aid kit. Per licensee, there are no firearms during today's visit.

Page 1 of 3 ***Continued on LIC 809C**

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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: LANKE, ROHINI	FACILITY NUMBER: 015700257
	VISIT DATE: 09/28/2023

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The licensee completed the Health and Safety training, CPR/First Aid certification expires on 09/05/25. The licensee is in compliance with the immunization laws and has completed the mandated reporter training on 07/12/2023. Licensee is reminded of their responsibility to renew CPR/First Aid and Mandated Reporter certificates every two years. The licensee conducts and documents fire and disaster drills at least twice a year last one conducted on 09/26/23. All required forms are posted and visible for public review.

Records: At 1:45pm LPA requested and reviewed three (3) children’s files and personnel records. Facility does not provide care to children under 15 months. LPA discussed and provided information on Safe Sleep Requirements. There is a current roster available for review and obtained a copy.

CCLD Inspection Process: 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/process.

Criminal Record Clearance: Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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/resources/child-care-centers/.

Page 2 of 3 ***Continued on LIC 809C***

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: LANKE, ROHINI	FACILITY NUMBER: 015700257
	VISIT DATE: 09/28/2023

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MyChildCarePlan.org: Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Megan’s Law: During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Unusual Incident/Student Injury Report: Effective August 1, 2003 California Law requires Child Care Licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury Form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within 7 business days.

No deficiencies found during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights provided. Exit interview conducted and report was reviewed with the licensee, Rohini Lanke.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC809 (FAS) - (06/04)

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