376627611-8-9-2021-51-CC-SSIO-C5QUSG-20210809155020

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627611
Report Date: 08/09/2021
Date Signed: 08/09/2021 03:50:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	KANDASAMY PALANISAMY, DEEPA FAMILY CHILD CARE		FACILITY NUMBER:	376627611
ADMINISTRATOR:	DEEPA KANDASAMY PALANISANY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(425) 647-3967
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92129
CAPACITY:	14	CENSUS: 8	DATE:	08/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Deepa Kandasamy Palanisany		TIME COMPLETED:	03:55 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	(1) On 08/09/2021 at 1:50PM, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced random inspection with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present at the facility were the Licensee, her new helper Sujatha Sivasankaran and 8 day care children napping in the living room and bedroom located downstairs. Licensee currently uses the living room, bedroom and 1/2 bath for child care. Licensee currently has the dining room blocked off but she stated that if she has more children then she will open up that area and will block off the connecting area that leads to the kitchen. The facility has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. Off limit areas includes the laundry room, garage, family room, kitchen and all of upstairs. The off limit areas are blocked off with safety gates and or door knob cover, there is a safety gate at the bottom of the stairs. The home has a fully charged fire extinguisher and an operating smoke and carbon monoxide detector. All hazardous items "keep out of reach of children" were latched/locked and secured out of reach of children. Licensee stated that there are no bodies of water or weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received the required background clearances and are associated to the facility. Licensee’s First Aid and CPR certifications are current due to expire on 07/17/2023. Licensee stated that she has not renew her online mandated child abuse training as she last completed the training on 05/05/2018.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KANDASAMY PALANISAMY, DEEPA FAMILY CHILD CARE	FACILITY NUMBER: 376627611
	VISIT DATE: 08/09/2021

NARRATIVE

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Helper Sujatha Sivasankaran shall complete the online mandated child abuse training within 90 days of employment and she shall provide the required MMR and TDAP immunization records to licensee within 30 days as well. All eight children’s records were reviewed and all records are in ordered. Facility has an updated roster and a copy was obtained today. Licensee stated that she just reopened her day care and she will be conducting a fire drill will the children in care next week.

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

The following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee will be provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, safe sleep for infants, best practice on supervision, latest car seat poster and effects of lead exposure and reporting responsibilities were discussed. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for to obtain important licensing updates through www.ccld.ca.gov. LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Facility appears to be within substantial compliance during today's inspection. No citation issue.

A Notice of Site Visit was posted during the inspection and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021

LIC809 (FAS) - (06/04)

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