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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700285
Report Date: 10/22/2021
Date Signed: 10/22/2021 02:52:41 PM

Document Has Been Signed on 10/22/2021 02:52 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, SWATIFACILITY NUMBER:
015700285
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/22/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Swati SinghTIME COMPLETED:
03:05 PM
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On October 22, 2021 at approximately 12:30 PM Licensing Program Analyst (LPA) Lorraine Dacanay Breaux and Sabina Dodoo met with applicant Swati Singh for the purpose of conducting an announced pre-licensing inspection. Living in the home is the applicant, her fingerprint cleared and TB tested husband and two children, one son and one daughter. The hours of operation will be Monday - Friday, 8:30 AM to 6:00 PM.

The facility is a single story home 4 bedroom, 2 bathroom home owned by the applicant and contains a living room, family room, kitchen, four bedrooms (1 master with an attached bathroom), attached 2-car garage, and enclosed (fenced) front and backyard areas. There is a fireplace in the dining room that is covered with a glass screen and child safety latch. The home is neat and clean with heating and ventilation for safety and comfort. The backyard area has fencing. Per the applicant, the ISOLATION AREA will be in the on-limits living room away from the other children in care.

On-limit-areas include: Entryway of the home, living room, dining room, kitchen, master bedroom and bathroom (used for child care), hallway leading to master bedroom. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits areas.

Off-limit-areas include: The three bedrooms down the hallway, bathroom in the hallway (main house bathroom), the attached 2-car garage, the entire rear and front yard of the home, the locked shed in the back yard. The off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by adult supervision.



Applicant has ample age-appropriate toys and learning materials inside. The applicant is reminded that once the yard work is completed, applicant will contact LPA to inspect to make this area on limits.

A copy of the deed is available showing the applicant owns the property. Ratios were discussed and a copy left for applicant as a reminder. Per applicant, there are no firearms in the home.

The home has a fully charged 2A10BC fire extinguisher, working smoke detectors and a carbon monoxide detector (tested and functioning), and a working telephone. Applicant’s Health and Safety training 10/09/2021, CPR and First Aid certificate is current and expires 09/2023. Mandated Reporter has been completed.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2021
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, SWATI
FACILITY NUMBER: 015700285
VISIT DATE: 10/22/2021
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LPA reminded applicant of the following; Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. LPA discussed Unusual Incidents Reports.

LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection. There is a small counter water fountain in the kitchen.

Applicant 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.

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



LPA discussed the safe sleep regulations with applicant 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 applicant 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.

Applicant materials and operating safely during the Covid Pandemic were reviewed.



For licensing updates email childcareadvocatesprogram@dss.ca.gov and advised to be added to the email list.

This home is recommended for Licensing on October 22, 2022.

Exit interview conducted and report was reviewed with the applicant Swati Singh.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
LIC809 (FAS) - (06/04)
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