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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700268
Report Date: 03/21/2024
Date Signed: 03/21/2024 02:48:20 PM

Document Has Been Signed on 03/21/2024 02:48 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:GHOSH, REZYFACILITY NUMBER:
015700268
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
03/21/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Rezy GhoshTIME COMPLETED:
03:55 PM
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On March 21st, 2024 at approximately 1:00pm, Licensing Program Analyst (LPA) April Wright met with Licensee Rezy Ghosh for the purpose of an Increase in Capacity Inspection. Present during today's were six (5) preschool age children and one (1) infant child. LPA toured the home to conduct a health and safety inspection. Hours of operation are 8:00am - 6:00pm Monday through Friday.

The two story home was neat and orderly with heating and ventilation for safety and comfort of children in care. Home consists of on the first level: two bathrooms, a bedroom, kitchen, living/dining room, backyard, and garage. Second level of the home consists of three bedrooms, two bathrooms which includes master bathroom, loft area, laundry room, and three storage areas. The isolation area is the living room on the couch, which is a section away from other children in care. Licensee has a pet dog named Biscit which is kept in the second level of the home that is inaccessible to children in care. Biscit does not interact with children in care and the licensee families are aware that the dog is present in the home.

On-limit-areas: Living/dining room area (main day-care room #1), first floor bedroom (day-care room #2 to right of entry to the home), first floor bathroom and backyard. LPA observed that the backyard is fully fenced and is free of defects, hazards and damage.
Off-limit-areas: First Level - Garage, kitchen and side portions of the backyard. The side yards of the home shall remain off-limits to children.

Second level - Three bedrooms, two bathrooms including master bathroom, loft area and laundry room.

The off limits areas will be made inaccessible by closed and/or locked doors, child safety gates and visual supervision. There is a child safety gate at the bottom of the stairs to prevent access to the upper level of the home. There is also child safety gates on place to prevent access to the kitchen area which is in the off limits portion of the home. LPA observed and Licensee confirmed that there are no pools, hot tubs, bodies of water, hazardous materials, including cleaning products or toxins present during the inspection or accessible to children in care. See LIC809C for continuance

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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: GHOSH, REZY
FACILITY NUMBER: 015700268
VISIT DATE: 03/21/2024
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The home has a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detectors, pull down fire alarm, fully stocked first-aid kit and telephone. Licensee stated that there are no firearms or weapons in the home.

Capacity Increase: All requested/required documents were received for the increase in capacity application and verified by the LPA on 2/22/2024. The fire clearance for a capacity of 14 was approved by the Fremont Fire Department and received by CCLD via fax on 3/20/2024. The Licensee is reminded to abide by the conditions of the fire clearance which states that day care is not permitted in the garage. Pull down fire alarm is located in Day care room #1 (living/dining area) directly on the wall to the left of the sliding door to the backyard. The licensee was reminded that an assistant must be present at ALL times when there is more than 8 children in attendance. Whenever the assistant is not present, the licensee will comply with the capacity requirements for a small family child care home. A copy of Capacity Requirements for a Family Child Care Homes were reviewed and given to licensee. Licensee understands the capacity requirements for their family childcare home.



Assistant Requirements: LPA discussed with licensee the requirements and documents required for an assistant to be working and present with children in care. LPA advised licensee to have completed and received all documents prior to the assistant first day of employment in the family child care home. When the licensee has an assistant, the licensee will ensure that the assistant has the following documents and placed in a personnel file for review: 1) Mandated Reporter certificate for Child Care Providers, 2) Criminal Record Clearance and associated to the facility (Guardian), 3) Proof of immunization against Measles (MMR) & Pertussis (Tdap), 4) Proof of TB Clearance, & 5) Signed copy of the Statement Acknowledging Requirement to Report Child Abuse (LIC 9108) Form. CPR & First Aide is required if the assistant is left alone with the children. Licensee understands and acknowledges what documentation is needed for an assistant to work in the home.

The home is recommended for an increase of capacity of up to 14 children.

A notice of site visit of given was given and must be posted for 30 days. Exit interview was conducted and report was reviewed with the licensee Rezy Ghosh.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC809 (FAS) - (06/04)
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