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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700268
Report Date: 01/24/2025
Date Signed: 01/24/2025 05:34:16 PM

Document Has Been Signed on 01/24/2025 05:34 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/
DIRECTOR:		GHOSH, REZYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(571) 332-4483
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
01/24/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Rezy GhoshTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On January 24th, 2025 at approximately 1:15pm, Licensing Program Analyst (LPA) April Wright met with Licensee Rezy Ghosh for an unannounced Annual Random Inspection. Present during today's were nine (9) children (4 infant / 5 preschool age), the licensee assistant and spouse. LPA toured the home to conduct a health and safety inspection. The licensee is in ratio today. Hours of operation are 8:00am - 6:00pm Monday through Friday.

The two story home consists of two bathrooms, a bedroom, kitchen, living/dining room, backyard, and garage on the first level. 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 remains 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, inaccessible to children in care. Families are aware that the pet dog is in the home. Dog does not interact with children in care during daycare hours. LPA observed and Licensee confirmed that there are no pools, hot tubs, bodies of water in the home.

On-limit-areas: Living/dining room (main day-care room), first floor bedroom (day-care room), first floor bathrooms and backyard
Off-limit-areas: First Level - Garage, kitchen. Second level - Three bedrooms, two bathrooms, loft 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 located 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 and front door area which is in the off limits portion of the home. LPA observed and licensee confirmed that there are no hazardous materials, including cleaning products or toxins present during the inspection or accessible to children in care. LPA observed and Licensee confirmed that are no weapons or firearms present at the home. See LIC809C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GHOSH, REZY
FACILITY NUMBER: 015700268
VISIT DATE: 01/24/2025
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The home has a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detectors, fully stocked first-aid kit and telephone. Licensee has a pull down fire alarm which is located at the entry to the backyard on the left hand side of the wall.

All individuals subject to criminal record review have a clearance or exemption and have been associated to this FCCH. LPA requested and reviewed the files of nine (9) children in care. The children's files contained, Parents rights, medical consent forms and identification and emergency contacts. The facility roster was review and copies were obtained. The licensee /conducts fire and disaster drills twice a year and the last was conducted on 10/30/2024. Licensee and assistant have current CPR/First aid and Mandated Reporter training certificates on file. All required forms are posted and visible for public review. The licensee is in compliance with the immunization laws which pertains to all childcare providers.



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.

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-andresources/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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP . 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: https://www.ada.gov/resources/child-care-centers/.
See LIC809C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
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: GHOSH, REZY
FACILITY NUMBER: 015700268
VISIT DATE: 01/24/2025
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

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.

During the exit interview, the Licensee Rezy, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Rezy Ghosh.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC809 (FAS) - (06/04)
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