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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421015
Report Date: 05/17/2023
Date Signed: 05/17/2023 04:42:54 PM


Document Has Been Signed on 05/17/2023 04:42 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:HOSAHALLI, VINUTHAFACILITY NUMBER:
013421015
ADMINISTRATOR:HOSAHALLI, VINUTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 793-6971
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 15DATE:
05/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Vinutha HosahalliTIME COMPLETED:
04:55 PM
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Today the Facility is OVER RATIO and Non-Compliant with AGE RATIOS

On May 17, 2023 at approximately 12:35pm Licensing Program Analyst (LPA) Haderer arrived and met with the licensee Vinutha Hosahalli for the purpose of conducting an unannounced 1-year annual inspection for Health and Safety compliance. Hours of operation are Monday -Friday 8:15 to 5:45pm.

Present in the home today was the licensee, her fingerprint and TB tested assistant and 15 children in care (8 infants; 6 two-years old; 1 three-years old). The facility is OVER RATIO and also not in compliance with the AGE RATIO requirements. The maximum number of children allowed in a large family child care home is 14 which includes 3 infants, 9 preschool age and a child enrolled in kindergarten or elementary school and 1 child at least 6 years old. Having 15 children is too many and in addition, caring for 8 infants is double the maximum number ever allowed. These are Type A deficiencies, - see LIC809D for the deficiencies.

Licensee will be required to publicly post the Type A deficiencies for 30 days and provide a copy of the Type A deficiency to all currently enrolled children's parents and collect their signatures and dates on the LIC9224 Acknowledgement of Receipt of Licensing Reports form. For the next 12 months, licensee will be required to provide a copy of the Type A deficiency to parents of newly enrolled children and collect their signatures and dates on the LIC9224 Acknowledgement of Receipt of Licensing Reports forms and keep them in the children's files.

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SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015
VISIT DATE: 05/17/2023
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The facility is a single-story home with 3 bedrooms; 2 bathrooms; living room; family room (day care are); dining room; kitchen; attached 2-car garage; front, back and side yards. There is an unused and screened fireplace in the living room. The home has heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the on-limits living room away from the other children in care. All required postings are present.

ON LIMIT AREAS: Family room (day care area), living room, kitchen, dining room, first bedroom on the right side of the hall (with a door that connects with the hall way and family room), hallway leading to the house bathroom, the house bathroom and master bathroom. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products.


OFF LIMIT AREAS: Bedroom on the right side of hall next to the main house bathroom; master bedroom; attached 2-car garage; and northern side-yard in the backyard area. The off-limit areas will be inaccessible by child gates, closed and/or locked doors and adult supervision.

The home has a fully charged 2A10BC fire extinguisher mounted in the kitchen by the small garage door, smoke and carbon monoxide detectors (tested and working) and a working telephone. Fire drills are conducted at least once every 6 months, the last drill was completed December 20, 2022.
Licensee has ample age-appropriate toys and learning materials inside and outside the home. The outdoor play area is free from defects and dangerous conditions. Per licensee, there are no firearms in the home. Drop-down cribs are not allowed at the day-care facility. Toxins, medicines, and hazardous items were inaccessible during today's inspection.

LPA reviewed Children’s files and made a copy of the roster for the office file. All files were organized and complete. The licensee owns the property and does not carry liability insurance. All children’s files contained the LIC282 Notice of no insurance and all were signed and dated. Licensee and assistant are present when the children are napping and licensee enters sleep log data into an online Google Docs form. Licensee’s husband was away on business and had the computer so logs were not being maintained. LPA noted the requirement for real-time data entry and the importance of a back up system in case the computer is missing, lost or stolen. Lack of sleep logs is a Type B deficiency, see LIC809D for deficiency.

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SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015
VISIT DATE: 05/17/2023
NARRATIVE
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Licensee and helper have all required immunizations. CPR/1st Aid was available for licensee and assistant, both expire on 7/17/2023. Mandated Reporter expired on 5/05/2023, a Technical Violation was issued as a reminder to renew the certificate. Licensee was reminded that CPR/1st Aide and Mandated Reporter is to be renewed every two years.

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

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.

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 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.

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 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.

Continued on Page 4.......................................

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 3 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015
VISIT DATE: 05/17/2023
NARRATIVE
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The following three deficiencies were observed during today's inspection:

· Licensee was Over Ratio – TYPE A Deficiency


· Licensee was out of Ratio – TYPE A Deficiency
· Sleep logs not maintained or unavailable – Type B Deficiency

See 809D for deficiencies cited today. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

**Please see LIC 9102 for Advisory Notes.

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

Exit interview conducted and report was reviewed with the licensee Vinutha Hosahalli.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 05/17/2023 04:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/17/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102416.5(a)
Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that upon entrance the licensee was out of ratio with 15 children in care (the maximum number of children ever allowed in a large family child care home is 14) which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/17/2023
Plan of Correction
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Licensee called the parent of one infant to come pick up their child during LPA's visit. LPA will return to ensure Licensee is remaining within ratio. Licensee is also advised watch video on "How Many Children Can Attend a Family Child Care Home?" at WWW.CCLD.CHILDCAREVIDEOS.ORG. Submit statement of understanding by 5/22/2023. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type A
Section Cited
CCR
102416.5(d)(2)
Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that upon entrance the licensee was out of age ratio of children with 8 infants in care. The maximum number of infants allowed is never more than 4 (if licensee has no more than 12 children in care); and 3 infants if licensee has 14 children in care (that includes 9 preschool age and one child enrolled in kindergarten or elementary school and one child at least aged 6) which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 05/17/2023
Plan of Correction
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Licensee called parents of infant children to come pick up their children. Licensee will stay in required ratios and may rotate children to ensure this. LPA will return to ensure Licensee is remaining within ratio and a Non-Compliance Meeting will be scheduled. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 5 of 8


Document Has Been Signed on 05/17/2023 04:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/17/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that licensee states that sleep logs are maintained on Google Docs but were not kept real-time and were not available which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/17/2023
Plan of Correction
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LPA discussed real-time recording of children napping and reviewed an example of a paper document and printed a copy for the licensee. Going forward, licensee will ensure safe sleep logs are maintained for all infants in care up to the age of 24 months and store these documents for three years.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 6 of 8