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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411300
Report Date: 12/01/2021
Date Signed: 12/01/2021 03:01:42 PM

Document Has Been Signed on 12/01/2021 03:01 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SAINI, SAHILFACILITY NUMBER:
434411300
ADMINISTRATOR:SAINI, SAHILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 746-5988
CITY:SUNNYVALESTATE: CAZIP CODE:
94086
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sahil SainiTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Mel Matos met with Sahil Saini, Licensee, for unannounced Required – 1 year annual inspection. LPA was granted access to the home by the Licensee. Licensee states that he does not have any children enrolled since March 2020; however, he wishes to keep his license active at this time. LPA observed the required postings, including the facility license, near the front entrance to the home. Days and hours of operation are Monday - Friday from 8:30 AM to 5:30 PM. Licensee is the only adult residing in the home.

LPA reviewed a current Child Care Facility Roster during today's inspection, which lists children that were enrolled prior to March 2020. Licensee has liability insurance for the day care through DCI insurance. Licensee has current CPR and First Aid certifications (expiration: 07/28/2022). Licensee has the required vaccines (MMR, Tdap, & flu opt out) and is current with the Mandated Reporter Training for Child Care Workers (expiration: 05/22/2023). LPA reviewed one staff files (Licensee) and the file was complete with the required forms.
LPA discussed the safe sleep regulations with the 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 the 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.

LPA toured the indoor and outdoor areas of the home during today's inspection. Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Licensee states that a child will be isolated in one of the bedrooms of the home if necessary due to illness or communicable disease.

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2021
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SAINI, SAHIL
FACILITY NUMBER: 434411300
VISIT DATE: 12/01/2021
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The home is clean and orderly, with central heating/air conditioning for safety & comfort. There are no open face heater or fireplace units inside the home. Off limit areas in the home: one bedroom, one bathroom, one barricaded fireplace (located in the living room), and attached garage. There are no stairs inside the home. Off limit areas outside the home: front yard and left and right side areas of the backyard.

LPA observed a fully charged 3A40BC fire extinguisher, working smoke/carbon monoxide detectors, no bodies of water, and fenced backyard. Licensee states that he does not have any pets or weapons in the home. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. All poisons are locked in the attached off limits garage. Licensee states that he does not administer any medication to the day care children.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

Supervision of children was discussed with Licensee and he understands that he must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands his capacity options and he understands that he cannot have more than 14 children in the home at any time without two qualified adults present. Licensee states that he does not transport any day care children. Licensee understands that children shall not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping.


To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to [email protected]. 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/process

Exit interview conducted and report was reviewed with the Licensee, Sahil Saini. No deficiencies issued during today's inspection.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC809 (FAS) - (06/04)
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