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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700423
Report Date: 02/28/2023
Date Signed: 02/28/2023 02:27:42 PM

Document Has Been Signed on 02/28/2023 02:27 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:CHATTERJEE, RAJASHRIFACILITY NUMBER:
015700423
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/28/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Applicant, Rajashri ChatterjeeTIME COMPLETED:
02:55 PM
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Licensing Program Analyst (LPA), Jyoti Saini conducted a scheduled Prelicensing inspection this day, arriving at 12:00pm and met with Applicant. Rajashri Chatterjee. LPA and Applicant inspected entire house for Health and Safety Hazards. The Applicant owns this property. A copy of the property tax was reviewed and shows control of property. Applicant resides in the house with her husband and two minor kids. The home is a two story home with 5 bedrooms (including in laws suite), 3.5 bathrooms, laundry room, living room, kitchen, dining area, mud room, loft and backyard. The In-law suite will be the only day-care area for children which is located on the first floor consists, 1 bedroom, 1 bathroom, and closet. The entrance to the day care will be through in- laws suite main door. The applicant plans to operate Monday-Friday from 8:30am-5:30pm.

ON-LIMIT AREAS: In- laws suite consist, one bedroom, closet (storage only) and full bathroom and Living room (walk through to the backyard only)

OFF-LIMIT AREAS, first floor- kitchen, mud room, dining area, half bathroom located in the middle of garage door and mud room, closets in the hallway, garage and the entire second floor.

The home appears to be neat and clean with heating and ventilation for safety and comfort. The ISOLATION AREA will be the corner of the "main day care area". All off limit areas are properly barricaded. Home has a working smoke and carbon monoxide detector, a working telephone, a fully charged Fire Extinguisher and fully stock First Aid Kit. There are ample age appropriate toys that are safe and appeared to be clean. There are no pools, hot tubs or any other bodies of water on the premises. All hazardous materials and toxins are kept out of the reach of children. All bathroom/kitchen cabinets are latched to prevent children from access. During today’s inspection, there is a gate located at the base of the stairs which lead to the second story of the home, and the applicant is aware when children under the age of 5 years old are present in the home in care, the gate must be in place. Applicant states discipline policy is redirection/talking. Per Applicant, she may or may not purchase liability insurance, she was advised to use form, the Affidavit regarding liability insurance for FCCH. Parent's Right and the Emergency Disaster Plan were Posted. Licensee was advised to post the License when she received it. Licensee was also advised to conducts fire/disaster drills once every six months, and to log the date and time of the drill. Applicant has required Preventive Health and Safety Training certificate, including lead poisoning prevention update. The Facility will be providing snacks and meal. Applicant's First Aid/CPR certificate expires in 10/2024. Mandated Reporter training certificates for Applicant are current. Applicant is reminded of NO walker, exersaucers, jumpers, bouncers and any similar items to be used for children in care and shall be made inaccessible. Smoking is prohibited in family childcare homes. The Applicant is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing. LPA discussed safe sleep guidelines and 15 minutes check requirements.


see next page...
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CHATTERJEE, RAJASHRI
FACILITY NUMBER: 015700423
VISIT DATE: 02/28/2023
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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 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. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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


Small Family Child Care License is recommended effective 2/28/2022

Exit interview conducted and report was reviewed with the Applicant, Rajashri Chatterjee.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2023
LIC809 (FAS) - (06/04)
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