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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015701079
Report Date: 03/20/2025
Date Signed: 03/20/2025 11:12:34 AM

Document Has Been Signed on 03/20/2025 11:12 AM - 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:MOQIM, SONIAFACILITY NUMBER:
015701079
ADMINISTRATOR/
DIRECTOR:		MOQIM, SURAYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 300-4609
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/20/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Licensee, Sonia Moqim TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee Sonia Moqim for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Present during this inspection were the Licensee and her son, supervising two (2) infants and three (3) preschoolers. The double-story home has a living room, family room, kitchen, dining room, four bedrooms, 2.5 bathrooms, a laundry room, and a loft. A mother-in-law suite on the ground floor consists of a living room, bedroom, and bathroom. The mother-in-law suite also has a separate entrance through the backyard door. The Licensee operate from 7:30 a.m. to 5:30 p.m., Monday through Friday. The facility has a liability insurance through Acord insurance.

On-limit areas: The ground floor includes the living room, family room, kitchen, dining room, half bathroom, and backyard.
Off-limit areas: The entire second floor, the mother-in-law suite, the garage, and the left side of the side yard in the backyard.

LPA inspected the house for health and safety hazards. The home has a working telephone, a working smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. During today’s inspection, LPA did not observe any bodies of water. The napping cots are in good condition, and each child has their own separate blanket. Per the licensee, parents wash the bedding weekly. The licensee states that there are no guns or weapons of any kind in the home. There are no pets in the home. The licensee’s CPR certification expires on 07/2025 and mandated certificates expires on 07/2025. The licensee provides breakfast, lunch, and two snacks.

LPA reviewed the children’s files, and all the files are complete. All required postings are properly posted. LPA discussed safe sleep guidelines and reminded the licensee to document sleep checks every 15 minutes. The fire drill log indicates that the last drill was conducted on 03/2025. The facility roster was reviewed and a copy was obtained.

see next page...

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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: MOQIM, SONIA
FACILITY NUMBER: 015701079
VISIT DATE: 03/20/2025
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During Inspection, Licensee 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.

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-and-resources/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.



Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

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/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

There is no deficiency cited today.

Exit interview conducted and report was reviewed with the licensee, Sonia Moqim.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
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