434416220-10-10-2019-07-CC-SCOS-BGTW32-20191010165512

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416220
Report Date: 10/08/2019
Date Signed: 10/10/2019 04:55:17 PM

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:	CHOPPALA, DEEVENA		FACILITY NUMBER:	434416220
ADMINISTRATOR:	DEEVENA CHOPPALA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	4082168630
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95133
CAPACITY:	14	CENSUS: 0	DATE:	10/08/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Deevena Choppala		TIME COMPLETED:	11:30 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	Licensing Program Analyst (LPA) Stephanie Collins conducted an announced pre-licensing / Re- location inspection. LPA met with Deevena Choppala Licensee, and explained the nature of today's inspection. The people that reside in the home are the Licensee, her husband ( Prabhakar Chooppala,) and son (Lauren Choppala). No children in care during todays inspection. Days and hours of operation are Monday thru Friday from 8:30 AM to 5:45 PM. Licensee complies with the requirement for the 16- hour health preventative training. Licensee certification for CPR and First Aid is current and expires September 9 2021, Licensee owns the home and proof of control of property is on file. Licensee has Affidavit Regarding Liability Insurance form to inform parents that she does not carry day-care insurance. LPA toured the home. Off limit areas in the home: garage and all bedrooms and Living room. There are no off limit areas in backyard. Backyard is fully fenced. LPA observed a fully charged 2A10BC fire extinguisher, barricade (child safety gate separate the kitchen from family-room. A working smoke detector and working carbon monoxide detector were tested and found functioning. No no bodies of water observed. Licensee states that there are no weapons in the home. Cleaning products, medications, sharp objects and other similar items are inaccessible to children. LPA reminded Licensee that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. Licensee will be talking to the children and will be using redirection as forms of discipline. Licensee understands that children's personal rights should not be violated; including no corporal punishment. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries, heat-related illnesses, and requirements for assistant/substitute were also discussed. LPA informed Licensee that fire/disaster drills must be practiced at least once every 6 months and documented.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

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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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: CHOPPALA, DEEVENA	FACILITY NUMBER: 434416220
	VISIT DATE: 10/08/2019

NARRATIVE

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A review of staff records during file review indicates that all individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA advised Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA provided a copy of the “Lead Poisoning Facts Information Flyer” to the facility.

Safe sleep information was reviewed with Licensee.

LPA referred Licensee to the Department website: www.ccld.ca.gov for additional information.

Incidental Medical Services (IMS) policy was discussed. For IMS information 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

Upon the approval of management, a license for a Large family child care home will be granted.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

LIC809 (FAS) - (06/04)

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