015700012-8-5-2021-52-CC-RHAR-C5LQW3-20210805123115

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700012
Report Date: 08/05/2021
Date Signed: 08/05/2021 12:31:22 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:	THONDAPU, LAKSHMI		FACILITY NUMBER:	015700012
ADMINISTRATOR:	THONDAPU, LAKSHMI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 894-9689
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	14	CENSUS: 8	DATE:	08/05/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:22 AM
MET WITH:	Lakshmi Thondapu		TIME COMPLETED:	12:40 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 August 5, 2021 at approximately 10:22am Licensing Program Analyst (LPA) Haderer arrived for an unannounced annual inspection. Present in the home today was licensee Lakshmi Thondapu, her fingerprint cleared husband Chandra Mathamsetty and fingerprint and TB cleared assistant Dhanalakshmi Neelam, their 13-year-old daughter and 9-year-old son and 8 children in care. 3 more children arrived during the inspection. Ages of all children in care were: 4 infants and 7 children between the ages of 2 1/2 and 4 1/2. The facility was in ratio today. 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 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. 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 doorknobs and through visual supervision.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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: 08/05/2021

NARRATIVE

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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 always be kept empty. 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 licensee’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 07/15/2023. Assistant’s CPR and First Aid certificate is current and expires 7-17-2023. Mandated Reporter is also current and expires 5-17-2023. Licensee and assistant are in compliance with immunization laws pertaining to family day care homes.

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. 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/

At 11:11am, facility and children’s files were reviewed. All records complete, nothing missing.

All required postings were present, including the up to date fire drill log, last drill done 5/11/2021.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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: 08/05/2021

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 discussed new Safe Sleep requirements for infants up to 12 months.

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, LPA left facility at 12:30pm

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

LIC809 (FAS) - (06/04)

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