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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334803735
Report Date: 02/10/2022
Date Signed: 02/10/2022 12:06:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KUPPANDA FAMILY CHILD CAREFACILITY NUMBER:
334803735
ADMINISTRATOR:KUPPANDA, VIREENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 371-8650
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:14CENSUS: 4DATE:
02/10/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Vireena & Suresh Kuppanda, LicenseesTIME COMPLETED:
12:11 PM
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On February 10, 2022 Licensing Program Analysts (LPAs) Elyse Jones and Justin Giese conducted a Case Management-Legal Non-Compliance inspection. This inspection is in agreement with, and is a result of a Stipulation Decision dated September 10, 2021. The Stipulation Decision was initiated by citation issued regarding Personal Rights.

LPAs met with Vireena & Suresh Kuppanda, toured the facility, and conducted a census. The following was observed:
Staff were proving adequate Care and Supervision
All staff and residents who required a Criminal Record Clearance had one and were associated to the facility
Personal rights were being accorded to the children in care
There were no children ages two and under present during inspection
Department received completion of training with quiz results on December 16, 2021

Based on the above, the facility was found to be in compliance with Title 22, at this time.

A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
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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