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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422838
Report Date: 06/30/2022
Date Signed: 06/30/2022 12:10:00 PM

Document Has Been Signed on 06/30/2022 12:10 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MANCHANDA, ISHAFACILITY NUMBER:
013422838
ADMINISTRATOR:MANCHANDA, ISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 896-9848
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
06/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:Isha Manchanda- LicenseeTIME COMPLETED:
12:20 PM
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On 6/30/22, Licensing Program Analyst Briana Plumboy, met with licensee Isha Manchanda for an UNANNOUNCED ANNUAL REQUIRED INSPECTION. Present for the inspection was 11 preschool age children, 2 school age children, and assistant Anahita Dadnam. The home was toured to conduct a Health and Safety Inspection. The licensee operates the facility Monday through Friday from 8:00am until 6:00pm.

ON LIMITS: living room, dining room, hallway bathroom, the first bedroom on the left, and the first bedroom located on the right side of the hallway.

OFF LIMITS: the garage, kitchen, master bathroom, and master bedroom

The isolation area will be the first bedroom located on the left side of the hallway. The outdoor play area is fenced. There is a 2A10BC fire extinguisher, carbon monoxide detector, pull down fire alarm, and smoke detector which meet State Fire Marshall standards during today's inspection. Per licensee, there are no firearms in the home. There are no pets in the home. All required licensing documents are posted and visible for public review. The licensee's Pediatric CPR/First Aid certificate is current and expires 1/2023. Licensee's mandated reporter training was completed on 11/10/21. Assistant Anahita completed CPR/First aid training on 12/9/21 and received a certificate in mandated reporting on 1/10/22. Licensee, her husband, and her assistant present today are in compliance with the immunization law. The fireplace is screened with a glass door and latch to prevent access by children. Per licensee, there are no firearms in the home. The licensee documents disaster drills with the last drill being conducted on 5/3/22. 3 Children files were reviewed, facility roster was reviewed and a copy was provided to LPA Plumboy by licensee. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review. See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2022
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: MANCHANDA, ISHA
FACILITY NUMBER: 013422838
VISIT DATE: 06/30/2022
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Incidental Medical Services (IMS) policy was discussed. 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

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov



LPA discussed the safe sleep regulations with licensee Isha Manchanda 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 Isha Manchanda 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.

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

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Isha Manchanda.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022
LIC809 (FAS) - (06/04)
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