<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409574
Report Date: 09/26/2024
Date Signed: 09/26/2024 03:53:26 PM

Document Has Been Signed on 09/26/2024 03:53 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:ARUMUGAM, VENKATESWARIFACILITY NUMBER:
073409574
ADMINISTRATOR/
DIRECTOR:		VENKATESWARI ARUMUGAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 548-3108
CITY:DANVILLESTATE: CAZIP CODE:
94506
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/26/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Venkateswari ArumugamTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 9/26/24 at 1:30 PM, Licensing Program Analyst (LPAs) Joe Mary Vargas and Christina Watts conducted an announced prelicensing inspection and met with the applicant Venkateswari Arumugam. LPAs discussed the purpose of the inspection and was granted entry into the facility by the applicant. Residing in the home are the applicant, the applicant's husband. Present during the inspection were the applicant who is fingerprint cleared. There were no children present during the inspection. The facility was toured to conduct the health and safety inspection. The facility plans to operate between the hours of 7 a.m. - 6 p.m. from Monday to Friday. The home is a double story home with a 5 bedrooms and 5 bathrooms, 1 powder room, family room, living room, great room, dining area, kitchen, balcony, 2 car garage, 2 laundry room, pergola and ADU with a living room, 1 bedroom and 1 bathroom, a patio, backyard with a covered pool which is neat and clean with heating and ventilation for safety and comfort.

ON LIMIT areas are: The ADU (living room, bedroom, bathroom) and the left side yard.

OFF-LIMIT areas are: the entire main house, the right side yard, pergola, covered pool, the ADU patio.

The ISOLATION AREA will be in the the ADU bedroom, away from other children in care.

The outdoor play area is free from defects or dangerous conditions. There are ample age-appropriate toys that are safe, clean, and in good repair. During today's inspection, there is a pool, which is covered and made inaccessible to children. The pool covered and can hold the weight of an adult. The applicant stated that they will use the left side gate at the left side yard as the entrance and exit for the day care. LPAs did not observe any hazardous materials or toxins accessible to children. There is a a fireplace in the main home and not accessible to children.

The home has a fully charged 2A40BC fire extinguisher, working smoke detector, carbon monoxide detector, and fully stocked First Aid Kit. The home is equipped with a working telephone. The fire clearance was granted on 8/16/24 by Inspector Donna Marhenke of San Ramon Valley Fire protection department.

LIC 809-C continuation to page 2--------------------------------------------------------------------------------------------------

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Joe Mary Vargas
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: ARUMUGAM, VENKATESWARI
FACILITY NUMBER: 073409574
VISIT DATE: 09/26/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
PAGE 2
The applicant stated there are no firearms. There is 1 pet in the home. The applicant complies with the immunization laws pertaining to all childcare providers.

A copy of the grant deed was reviewed and showed control of the property. The applicant completed and received a certificate in mandated reporter training on 5/17/24. The applicant’s CPR and First Aid certificate is current and expires on the 2/2026.

The applicant 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 Family Child Care Homes Section 102417. 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

LPAs reviewed with the applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted, and copies were left with the applicant.

LPA's informed the applicant that all forms can be downloaded at www.ccld.ca.gov and encouraged the applicant to email [email protected] to be included in the Child Care Quarterly Updates distribution list.

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 platform.

LIC 809-C continuation to page 3------------------------------------------------------------------------------------------------

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Joe Mary Vargas
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ARUMUGAM, VENKATESWARI
FACILITY NUMBER: 073409574
VISIT DATE: 09/26/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
PAGE 3

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.

The applicant was also reminded that Mandated Reporter Training is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

CPR/First Aid is also renewed every two years. Baby bouncers and drop-down cribs are not allowed at the daycare facility.

The roster of the children must be properly maintained, and the fire/disaster drill every six months must be documented. The applicant is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.

LPA discussed the safe sleep regulations with the applicant 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's also informed applicant 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.



Before the license can be granted, the applicant needs to provide:

- air conditioning unit must be inaccessible to children

- make off limit areas in the backyard inaccessible to children.

The license will be issued upon final file review and manager approval.

An exit interview was conducted, and the report was reviewed with the applicant, Venkateswari Arumugam.

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Joe Mary Vargas
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3