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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420856
Report Date: 11/08/2021
Date Signed: 11/08/2021 11:02:09 AM

Document Has Been Signed on 11/08/2021 11:02 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SMOOT NASMYTH, TARAFACILITY NUMBER:
013420856
ADMINISTRATOR:SMOOT NASMYTH, TARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 595-2429
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
11/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Tara Nasmyth SmootTIME COMPLETED:
11:20 AM
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On 11/8/2021 approximately 8:30AM Licensing Program Analyst (LPA) Kelly Phan arrived at for an unannounced required inspection, and met with Licensee Tara Nasmyth Smoot. Present for this inspection was three preschool aged children. Also residing in the home is the licensee's fingerprinted husband, Ronald Nasmyth and their two young children between 2 and 3 years old. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday, 6:00am to 7:00pm.

ON LIMITS: playroom (left side of the family room), dining room (playroom), and front yard that has a small gate surrounded the area that has full supervision by licensee
OFF LIMITS: kitchen, family room, and left and right side of backyard. Off limit areas are inaccessible by closed and/or locked doors, gate, and visual supervision.

The home is single story, which is neat and clean, with heating and ventilation for safety and comfort. There are multiple gates to keep children in the playroom areas. Licensee uses one of her bedrooms or will physically separate the children if there is an illness present. There were ample age appropriate toys that were observed to be safe and in good condition. Toxins, medicines, and hazardous items were inaccessible during today's inspection. There is a fully charged 3A40BC fire extinguisher, working carbon monoxide, and smoke detector. The home has a fireplace but is blocked off. Per licensee, there are no firearms. There are chicken, rabbits, and cats at the home. There are no bodies of water presented in the home. The licensee conducts and documents fire drill log indicates a drill was conducted 9/27/21. All required licensing documents are posted but are posted in the kitchen which is not visible to public. LPA will advise licensee to post notices somewhere more visible for parents. At 10:30am, children's files were reviewed and found to be complete. The facility roster was reviewed, and a copy obtained. The licensee is in ratio today.
SEE LIC 809- C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2021
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: SMOOT NASMYTH, TARA
FACILITY NUMBER: 013420856
VISIT DATE: 11/08/2021
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 Licensee will fax/email required proof of required records such as LIC 282 and LIC 508 to LPA . The licensee has required mandated reporter training that is completed as of 02/04/2019. CPR and First Aid training will be scheduled per licensee and will email confirmation of the necessary class.
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Exit interview conducted. Appeal rights and site visit was given to licensee to post for 30 days.

Facility Representative was reminded that all adults 18 and over, 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 Child Care Center. 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.
Facility Representative was reminded that California Law requires licensed Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the Facility Representative that all forms can be downloaded at www.ccld.ca.gov and encouraged the Facility Representative to email [email protected] to be included in the Child Care Quarterly Updates distribution list. The Facility Representative was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
LIC809 (FAS) - (06/04)
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