434417022-4-13-2022-07-CC-DMAC-CDFL8S-20220413083226

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417022
Report Date: 04/12/2022
Date Signed: 04/13/2022 08:32:37 AM

Document Has Been Signed on 04/13/2022 08:32 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:	VIDYARAMBH		FACILITY NUMBER:	434417022
ADMINISTRATOR:	AJANTA DAS		FACILITY TYPE:	830
ADDRESS:	2931 EL CAMINO REAL		TELEPHONE:	(408) 758-8192
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95051
CAPACITY:	30	CENSUS:	DATE:	04/12/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Sujatha Namboodiri		TIME COMPLETED:	05:00 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	Licensing Program Analysts (LPA) Dung Mac conducted an unannounced pre-licensing inspection to the Facility today. LPA met with Sujatha Namboodiri, Applicant Representative, and Ajanta Das, Site Director. The facility has applied for the Infant program with the maximum capacity of 24 and to decrease the capacity of the Preschool program. The facility is already licensed for a Preschool program (#434416142). The Infant Center will operate Monday through Friday from 8:00AM-6:30PM, serving Infant children ages 12 months-24 months. The Infant program will be utilizing Room 2 (Narmada) which was previously licensed as part of the Preschool component. The Preschool program is in Room 1 (Kaveri room), Room 3 (Yamuna), Room 4 (Godavari), Room 5 (Ganga), Room 6 (Nila), and Room 7 (Gomati). LPA toured and measured the indoor and outdoor areas of the facility during today's inspection. INDOOR ACTIVITY MEASUREMENT ARE AS FOLLOWS: ROOM 2: (31.750 x 20.667 + 26.083 x 8.250) - (4.083 x 4.167 + 4.000x1.833) (encumbered) = 871.362 - 24.346 = 847.016 *TOTAL INFANT INDOOR SPACE =* 847.016 sq. ft. divided by 35 *= 24 children* There are 2 sinks (30) and 1 toilet available for the infants. Sujatha states that the Infant program will offer the potty training. LPA observed appropriate changing tables that have raised sides (3 inches in height) and are within an arm's reach of a sink in each room. Report To Be Continued on Page #2

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

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: VIDYARAMBH	FACILITY NUMBER: 434417022
	VISIT DATE: 04/12/2022

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LPA observed containers with tight-fitting lids for solid waste and diaper disposable. The facility has central heating/air conditioning and appropriate lighting in classroom. LPA observed smoke/carbon monoxide detectors. First aid supplies are stored in the upper cabinet. Cleaning solutions, disinfectants, and similar items will be stored in the upper cabinet.

There are 10 high chairs, 4 tables, 24 chairs, 12 hooks, 26 cots, and 2 potty chairs. There is adequate equipment, supplies and toys for children. Drinking water is available to children via individual bottle and water filter system in the classroom. LPA observed functioning smoke/carbon monoxide detectors in classroom. Three staff restrooms (located in the front office area) of which one is used for sick child. Sick children are isolated in the Sujatha's office and isolation equipment is provided.

Facility provides breakfast, lunch, AM/PM snacks. Meals are prepared in the facility’s kitchen. The food preparation area is functional and has hot and cold running water, sink, refrigerator, microwave, ovens, stove, and storage space for food. Cleaning and sanitation of dishes and utensils will be done via dishwasher.

OUTDOOR MEASURES:
65.000 X 16.083 = 1,045.40

TOTAL OUTDOR SPACE:
1,045.40 sq. ft divided by 75 sq. ft per child = 13 children

Infant playground has space for 13 Infants. There is not enough space for the requested Infant capacity of 24. As a result, a waiver for playground space will be requested by the Applicant Representative.

LPA observed the playground is surrounded by appropriate fencing and exclusively for Infant children. There is no play structure in the Infant playground. LPA observed the outdoor activity space is equipped with a variety of age-appropriate toys and equipment. Shade is provided by canopies. No bodies of water were observed.

Report To Be Continued on Page #3

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

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: VIDYARAMBH	FACILITY NUMBER: 434417022
	VISIT DATE: 04/12/2022

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Sujatha Namboodiri, Applicant Representative, and Ajanta Das, Site Director, have obtained a Criminal Records Clearance and Child Abuse Index Checks. Director’s Pediatric First Aid/CPR Certifications expire 7/10/2023. Director has proof of completion of Preventative Health Practices and proof of immunity against Measles and Pertussis, Influenza on file.

Sujatha states that facility is not providing Incidental Medical Services at this time.

LPA reviewed with facility representative the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Facility Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with [applicant, licensee, or facility representative] 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 informed [applicant, licensee, or facility representative] 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.

Report To Be Continued on Page #4

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

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: VIDYARAMBH	FACILITY NUMBER: 434417022
	VISIT DATE: 04/12/2022

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Facility Representative, Sujatha Namboodiri. LPA advised Sujatha that a license for 24 Infant children will be submitted to Licensing Management for the final stage of approval upon the receipt of the following:

1) A waiver request for the shared playground space. Waiver was received during today's inspection.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

LIC809 (FAS) - (06/04)

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