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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408982
Report Date: 02/27/2025
Date Signed: 02/27/2025 01:10:38 PM

Document Has Been Signed on 02/27/2025 01:10 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SANGIRAGCHAA, ERDENEDALAIFACILITY NUMBER:
073408982
ADMINISTRATOR/
DIRECTOR:		SANGIRAGCHAA, ERDENEDALAIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 990-4932
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
02/27/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:47 AM
MET WITH:ERDENEDALAI SANGIRGHAATIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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On 02/27/2025 at 9:47AM, Licensing Program Analyst (LPA) Kareeca “Reeca” Sykes met with Licensee Erdenedalai Sangirghaa for an Unannounced Annual/Random Inspection. Present during the inspection were the licensee and the licensee's assistant who is fingerprint cleared. Residing in the home are Licensee the Licensee husband who is fingerprint cleared, and licensee two minor children. LPA toured the home for an health and safety inspection. Licensee informed LPA that the facility operates 7AM – 5:30PM Monday - Friday.

The home is a two story home that consists of three (3) bedrooms, two (2) bathrooms, kitchen, dining room and living room (which have been converted to main day care area), laundry room, garage, and backyard. The entrance to the day care is the front door. The inside and outside of the home were observed to be neat, clean with age-appropriate materials and toys for the children. LPA observed toxins, and hazardous materials were in an area under the kitchen sink as well as sharp knives on the kitchen counter which was accessible to children in care. LPA did observe licensee remove all items and place them in an area inaccessible to children during the inspection. LPA reminded licensee that all cleaning products and sharp items such a knives need to be stored in an area made inaccessible to children in care. LPA observed and gas fireplace in the living room area which licensee stated has a front cover and a child safety gate making it inaccessible to children in care. Licensee stated there are no firearms or pets in the home. LPA did not observe any body of water in or around home.

ON LIMITS AREA: The living room and dining room area (Converted to main daycare area), Bathroom downstairs (to the right of the front door entrance), the kitchen, and the right side of the fully fenced backyard.
OFF LIMITS AREA: The complete upstairs (including all bedrooms and bathrooms), the left side of the backyard, and the garage.
ISOLATION AREA: A corner in the dining room area away from other children in care
Continued on Page 2
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: SANGIRAGCHAA, ERDENEDALAI
FACILITY NUMBER: 073408982
VISIT DATE: 02/27/2025
NARRATIVE
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The home has a fully charged 2A10BC fire extinguisher, a working duel smoke/carbon monoxide detector in the hallway and a working telephone, and all required forms are posted. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 11/09/2024. Licensee CPR and First Aid certificate is current and expires on 07/07/2025. The Licensee was reminded of the responsibility as a mandated reporter and was unable to provided proof of the required training for all staff and licensee's last mandated reported was conducted on 01/11/2023 (Expired).
File Review: A sample of six (6) Children's files were taken for review which were all complete. Licensee informed LPA that they did not have a file for staff.

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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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 licensee and discussed the Child Care Licensing Safe Sleep web page 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.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
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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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: SANGIRAGCHAA, ERDENEDALAI
FACILITY NUMBER: 073408982
VISIT DATE: 02/27/2025
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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

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.


The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Erdenedalai Sangirghaa.
Report and Appeal rights were given to Licensee Erdenedalai Sangirghaa.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/27/2025 01:10 PM - It Cannot Be Edited


Created By: Kareeca Sykes On 02/27/2025 at 12:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SANGIRAGCHAA, ERDENEDALAI
FACILITY NUMBER: 073408982

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above when LPA observed cleaning compunds and sharp objects (knives) in the kitchen which were accessible to children which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/14/2025
Plan of Correction
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By COB on 03/14/2025 licensee will submit a written statement on they will stay in compliance as well as submitting photos to LPA on how licensee will keep sharp items and cleaning compounds inaccessible to children in care.
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above when LPA did not observe the Individual Infant Sleep Plan in any of the infant files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/14/2025
Plan of Correction
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On COB by 03/14/2025 licensee stated they will submit a written statement on how they will keep the facility in compliance as well as licensee will submit the missing Individual Infant Sleep Plans to LPA.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


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