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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700376
Report Date: 07/30/2024
Date Signed: 07/30/2024 02:04:10 PM

Document Has Been Signed on 07/30/2024 02:04 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:GOSAI, PARINJINIFACILITY NUMBER:
435700376
ADMINISTRATOR/
DIRECTOR:		GOSAI, PARINJINIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 708-5932
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
07/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Licensee Parinjini GosaiTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On 7/30/2024 at 11:15 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Annual Inspection. LPA met with the Licensee Parinjini Gosai and explained the nature of the visit. Present on this visit were the Licensee's Spouse, Licensee's Assistant (volunteer), Licensee's 2 school age children, 4 infants and 4 preschool children. The home operates from Monday to Friday

LPA toured the home with the Licensee to conduct a Health and Safety Inspection. The home is a two-story home. The home is neat and clean with central heating and ventilation for safety and comfort.

The On-Limit Areas are the school Area (located adjacent to the Kitchen), the Hallway Bathroom, Napping Room (located adjacent to the hallway bathroom) and the Backyard. The backyard is the designated outdoor play area that is fully fenced.
The Off Limit Area - located on the first floor - Kitchen, Breakfast Room (dining area), Family Room, the Garage, the Mud (laundry) Room and the entire second story. LPA reminded the Licensee that the Off Limit Areas will be inaccessible to children by locked doors, safety gates and visual supervision.

There are ample age-appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies of water present during today's inspection. All hazardous materials and toxins are kept out of the reach of children, and it was observed that there are no toxins or hazardous items accessible today. The home does have a fully charged 3A40BC fire extinguisher, working smoke detector and carbon monoxide and working phone. The Bedroom on the first floor is the designated Isolation Area when a child gets sick. The fireplace is blocked to prevent access by children and on the OFF-LIMIT AREA. Per licensee, there are no firearms in the home. Licensee owns the house and does carry childcare liability insurance, LPA reviewed the insurance record from ACORD statement dated 11/20/2023. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 3/12/2024.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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: GOSAI, PARINJINI
FACILITY NUMBER: 435700376
VISIT DATE: 07/30/2024
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The Licensee completed the Health and Safety training with Lead Poisoning Prevention on 12/10/2022. The Licensee completed the CPR and First Aid Training on 12/2/2022. The Licensee completed the Mandated Reporter Training for Child Care Providers training online on 6/27/2023. LPA reminded the Licensee that the CPR and First Aid, and Mandated Reporter Training Certificates requires 2-year renewal. The Licensee has records of Measles and Pertussis immunization, Influenza vaccination and TB clearance. LPA reminded the applicant that only the Influenza vaccination can be decline with a written declination.

Facility roster of children was reviewed, and a copy was obtained. Children’s files were reviewed, which included records of receipt for Parents' Rights Notice, Identification and Emergency Information, Consent for Emergency Medical Treatment form, LIC 9227, Infant Sleep Logs and Immunization. The licensee is in ratio today. Licensee stated that she does not transport children at this time.



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-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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, 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
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: GOSAI, PARINJINI
FACILITY NUMBER: 435700376
VISIT DATE: 07/30/2024
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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.

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.

There were no deficiencies cited today.

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

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 platforms. 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.

Exit interview conducted and report was reviewed with the licensee Parinjini Gosai.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC809 (FAS) - (06/04)
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