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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423382
Report Date: 01/29/2020
Date Signed: 01/29/2020 12:39:01 PM

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:DASU, VARALAKSHMIFACILITY NUMBER:
013423382
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
01/29/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Varalakshmi DasuTIME COMPLETED:
12:50 PM
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On January 29, 2020 at approximately 11:25am Licensee Program Analyst (LPA) Russ Haderer and Renee Reed and License Program Manager (LPM) Chandra Charles met with licensee Varalakski Dasu to make an announced visit to conduct and inspection for a capacity change. Present today was licensee and fingerprint cleared husband Viswanadha Dasu and 6 preschool children.

LPAs and LPM conducted a health and safely inspection of the facility. The home remains acceptable as initially licensed. The facility was granted a fire clearance on January 7, 2020 from Dublin Fire Prevention Services. The kitchen area had a pull down alarm, smoke detectors and carbon monoxide detectors were tested and in good working order. A fully charged fire extinguisher with a 3A40BC was present in the kitchen.

Home inspection was done on all on limits areas. Age appropriate toys were present inside the facility and outdoors as well and all were in good working order. Kitchen area had appropriate locks and latches on cabinet doors and drawers. The bathroom for the children was checked and everything was in proper working order. In the back yard, the on-limits areas include only the grassy area on the right side, the flower beds and sides of the house are off limits. There was a sprinkler/bubbler for a tree that had an upright 12 inch pipe, licensee agreed to lower it closer to the ground. Licensee was advised to always be present while children are in the back yard area.

The facility is approved for the capacity change effective January 29, 2020. A new license will be printed and a record of this will remain on file. Licensee was reminded there needs to be a fingerprint cleared assistant working in a large facility and if the licensee is the only person present, the facility must be operated as a small facility with a maximum of 8 children.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020
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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