434412643-11-6-2024-07-CC-MMOO-DARPE2-20241106101424

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434412643
Report Date: 11/06/2024
Date Signed: 11/06/2024 10:15:01 AM

Document Has Been Signed on 11/06/2024 10:15 AM - It Cannot Be Edited

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:	DEVIREDDY, VIJAYA		FACILITY NUMBER:	434412643
ADMINISTRATOR/ DIRECTOR:	DEVIREDDY, VIJAYA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 257-5908
CITY:	CUPERTINO	STATE: CA	ZIP CODE:	95014
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	11/06/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:37 AM
MET WITH:	Vijaya Devireddy		TIME VISIT/ INSPECTION COMPLETED:	10:20 AM

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 November 6, 2024 at 8:37 AM, Licensing Program Analyst (LPA) Marilou Monico, made an unannounced Case Management Inspection in response to licensee's request to reactivate her daycare license. LPA met with Licensee, Vijaya Devireddy. Also present in the home was licensee's husband. Licensee states the daycare days and hours of operation will be Monday - Friday from 8:30 AM to 6:00 PM. Licensee has current CPR and First Aid certifications with an expiration date of May 4, 2026. Licensee's Mandated Reporter Training was completed on May 28, 2024. LPA reminded licensee that Mandated Reporter Training for Child Care Providers shall be renewed by all staff every two years from completion date. LPA reviewed with Licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. LPA inspected the indoor and outdoor areas of the home. LPA observed a fully charged 2A10BC fire extinguisher, functioning smoke and carbon monoxide detectors, and glass covered fireplace. Off limit areas inside the home: entire upstairs, Bedroom 4, and garage. Off limit areas outside the home: barricaded walkway. Cleaning products, sharp objects, and other similar items are stored inaccessible to children. LPA observed sufficient toys, supplies, and equipment for the day care children. Licensee states that there are no weapons or firearms in the home. There were no bodies of water observed. 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 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 Continuation on next page:

Joel Segura	TELEPHONE: (408) 334-8550
Marilou Monico	TELEPHONE: (408) 334-8549
	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: DEVIREDDY, VIJAYA	FACILITY NUMBER: 434412643
	VISIT DATE: 11/06/2024

NARRATIVE

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Licensee, Vijaya Devireddy, was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

LPA provided and discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also reminded Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA obtained a copy of updated facility sketch during the inspection.

As a result of this inspection, the license for Large Family Child Care Home is reactivated effective today, November 6, 2024.

Exit interview conducted and report was reviewed with Licensee, Vijaya Devireddy.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024

LIC809 (FAS) - (06/04)

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