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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416674
Report Date: 01/14/2020
Date Signed: 01/14/2020 10:14:13 AM

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:VEMIREDDY, SREEVANIFACILITY NUMBER:
434416674
ADMINISTRATOR:SREEVANI VEMIREDDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 746-9827
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY:14CENSUS: 0DATE:
01/14/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Sreevani VemireddyTIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA) Shannel Reed met with Licensee, Sreevani Vemireddy, to conduct an announced change of location/ pre-licensing inspection to the home today. The adults that reside in the home are the Licensee, her spouse- Ramakrishna Vemireddy and the Licensee’s adult sons- Srisaiteja and Shivateja Vemireddy. The Licensee and spouse were present in the home today. The Licensee states that the hours of operation are Monday - Friday from 8:00AM to 6PM.
The home has no pets. The Licensee has completed her Preventative Health and Safety Child Care Training as of 08/07/16. The Licensee’s CPR and First Aid certifications are current and expire on 03/26/21. The Licensee owns the home with her spouse. Proof of control of property, via the Property Deed was provided. The Licensee states that she does not have day-care insurance at this time and will give the Affidavit Regarding Liability Insurance (LIC282) form.
LPA toured the indoor and outdoor (on and off limit) areas of the home during today's inspection. LPA observed a barricaded fire place. The home does not have any stairs. Off limit areas inside the home: three bedrooms Bedroom 2, 3 and Master bedroom), master bathroom and attached garage. Off limit areas outside the home: the left and right sides of the home and the storage shed on the right side of the home. LPA observed a fully charged 2A10BC fire extinguisher. LPA observed and tested operational smoke and carbon monoxide detector in the home. LPA observed a fenced backyard. Daily cleaning products and sharps are located in the off limit kitchen inaccessible to children. Additional cleaning products and toxins are located in the off limits garage. Medications are stored in the off limits master bathroom. LPA reminded the Licensee that smoking, baby walkers, jumpers, and similar items are not allowed in Family Child Care Homes.
A review of records indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA reminded the 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:

Facility Evaluation Report dated 01/14/20 to be continued on next page:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Shannel ReedTELEPHONE: (408) 489-9484
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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: VEMIREDDY, SREEVANI
FACILITY NUMBER: 434416674
VISIT DATE: 01/14/2020
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Facility Evaluation Report dated 01/14/20 to be continued from previous page:
$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.
Forms of discipline used by Licensee: talking to / counseling children about the issues, redirection and/ or time out. LPA discussed appropriate time out limits. The 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 reminded the Licensee that fire/disaster drills must be practiced at least once every 6 months and documented.
LPA discussed the requirements of AB 633 with the Licensee and she stated that she understands the requirements. LPA also discussed "zero tolerance" related regulations with the Licensee and advised her of the assessment of an immediate $500 civil penalty for any violation of a "zero tolerance" related regulation. An ongoing civil penalty of $100 per day continues until the violation(s) is corrected.
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 Licensee’s immunization records and Mandated Reporter Training Certificate of completion is on file.
LPA provided Applicant with Lead Safety Information sheet and reviewed the AB2370 requirements with the Licensee.
LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the Licensee can obtain updated licensing information, new regulations and access forms. LPA also provided the e-mail address for the advocates in order to be added to the quarterly newsletter mailing list, childcareadvocatesprogram@dss.ca.gov.
A Family Child Care Home packet was reviewed with the Licensee. LPA conducted an exit review with the Licensee and advised her that a Large Family Child Care Home license may be granted the review and approval by a Licensing Program Manager (LPM).
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Shannel ReedTELEPHONE: (408) 489-9484
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
LIC809 (FAS) - (06/04)
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