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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434409403
Report Date: 05/22/2019
Date Signed: 05/22/2019 03:42:28 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:TALAKAR, SHARAREHFACILITY NUMBER:
434409403
ADMINISTRATOR:TALAKAR, SHARAREHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 730-2326
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:14CENSUS: 12DATE:
05/22/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:43 PM
MET WITH:Sharareh TalakarTIME COMPLETED:
03:50 PM
NARRATIVE
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Licensing Program Analyst (LPA), Marilou Monico, made an annual random inspection. Present in the home were licensee, two adult helpers, and 12 children including 3 infants and 9 preschool age. Days and hours of operation are Monday to Friday from 8:00 AM to 5:30 PM. There are three adults living in the home: licensee, her son, and her mother.

LPA observed sufficient materials, toys, and play equipment for the day care children. The home is clean and safe for the daycare children. There is a fully charged 3A40BC fire extinguisher, working smoke detector, functioning carbon monoxide detector, barricaded stairs, and no bodies of water. Off limit areas in the home: entire upstairs and garage. Off limit areas outside the home: barricaded right side section of the home. Medications, cleaning compounds, sharp objects are stored out of reach of children. Per licensee, there are no weapons in the home. Five children's files and a helper's file were reviewed. Licensee maintains a current children's roster and fire drill log. LPA obtained copy of children's roster. Licensee and her helpers have current CPR/First Aid certifications.

LPA discussed Senate Bill 792, Assembly Bill (AB) 1207 (Mandated Child Abuse Reporter Training) which is required training that began on January 1, 2018 and requires renewal every two years. AB 633 was discussed with Licensee. Licensing forms, Title 22 regulations, can be obtained through the internet at ww.ccld.ca.gov. Mandated Reporter Training can be accessed at www.mandatedreporterca.com. Licensee and her two helpers have completed the Mandated Reporter Training. LPA reviewed and provided licensee with lead information sheets and advised her to provide copies to parents.

A review of staff records during today's inspection indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemption.

As a result of this inspection, there were no deficiencies cited.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2019
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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