015700012-3-25-2021-52-CC-RHAR-BZFQ8K-20210325115652

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700012
Report Date: 03/25/2021
Date Signed: 03/25/2021 11:57:02 AM

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:	THONDAPU, LAKSHMI		FACILITY NUMBER:	015700012
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 3	DATE:	03/25/2021
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	09:46 AM
MET WITH:	Lakshmi Thondapu		TIME COMPLETED:	12:15 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 March 25, 2021 at approximately 9:45am Licensing Program Analyst (LPA) Haderer arrived for an announced case management visit for a capacity change inspection. Present in the home today was licensee Lakshmi Thondapu, her fingerprint cleared husband Chandra Mathamsetty, their 13 year old daughter and three children arrived during the inspection, two 3-year olds (a boy and girl) and a 2 1/2 year old boy. All requested documents were received for the increase of capacity application. The fire clearance for a capacity of 14 was received from the Fremont Fire Department on 03/22/2021. The Licensee was reminded to abide by the conditions of the fire clearance. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home. The home was toured and inspected for health and safety. LPA inspected all on-limits areas, including the backyard and off-limits areas of the ground floor. The home is a tri-level design, with 4 bedrooms, 3 bathrooms, family room, living room, dining room, kitchen, 2-car attached garage, front and backyards. The home is neat and clean with heating and ventilation for safety and comfort. ON LIMIT AREAS remain as originally licensed: the fenced backyard, 1 ground floor bedroom, family room (day care area) and ground floor bathroom. The ISOLATION AREA will be in the bedroom on the bottom floor away from other children on care. Backyard is entirely fenced, with a 2 locked sheds on the side yards and an additional plastic fence on the padded floor patio. The outdoor play area and child playhouses were found to be free from defects or dangerous conditions. Continued on Page 2..............................................

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: THONDAPU, LAKSHMI	FACILITY NUMBER: 015700012
	VISIT DATE: 03/25/2021

NARRATIVE

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Off-limit-areas include: the entire 2nd and 3rd levels of the home that includes the kitchen, dining room, main living groom, all 3 upstairs bedrooms and bathrooms, front yard and 2-car attached garage. The off-limit areas will be made inaccessible by closed and/or locked doors, child gates, child-proof covers over door knobs and through visual supervision.

There are ample age appropriate toys in good condition and activities available for children. There is a small fountain in the corner of the backyard that is empty and not in use. Licensee is aware that fountain must be kept empty at all times. LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection.

The home has two fully charged fire extinguishers; a 2A10BC near the entrance door of the house; a 3A40BC in the family room (day care area). The home has appropriate smoke detectors and carbon monoxide detector (tested and working). There is a fireplace in the family room (day care area) that is fully blocked off with a screen and a bookcase for toys in front of it.

The applicant’s Health and Safety training is completed and CPR and First Aid certificate is current and expires 02/08/22. Mandated Reporter is current and expires on 07/24/2021. Licensee was reminded that CPR/1st Aide and Mandated Reporter training is to be renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. The licensee is in compliance with immunization laws. Per licensee, there are no firearms in the home.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, 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 .http://www.myccl.gov/

Continued on Page 3................................

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: THONDAPU, LAKSHMI	FACILITY NUMBER: 015700012
	VISIT DATE: 03/25/2021

NARRATIVE

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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.

LPA reviewed guidance on operating safely during the Covid pandemic. Posters were present and the checking in process of children was observed.

LPA provided a copy of Safe Sleep-in Child-Care brochure, a handout "What Does A Safe Sleep Environment Look Like?" and a copy of the new California Car Seat Law Changes.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and advised to be added to the email list

This home is recommended for an increase of capacity. There are no deficiencies cited today. The report will remain on file for three years. A notice of site visit was provided, and the licensee was reminded to have it posted for 30 days. An exit interview was conducted, and appeal rights provided.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

LIC809 (FAS) - (06/04)

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