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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573616993
Report Date: 11/15/2019
Date Signed: 11/15/2019 09:28:49 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:PRASAD, TINAFACILITY NUMBER:
573616993
ADMINISTRATOR:PRASAD, TINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 371-0961
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:14CENSUS: 11DATE:
11/15/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Tina PrasadTIME COMPLETED:
09:30 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Marissa Soto and Elvira Sierra conducted and unannounced Case Management inspection and met with Tina Prasad. Present in the facility were 11 children (2 infants, 9 preschool) being supervised by Licensee, and Licensee's husband. Facility was in compliance with children/staff ratio on today's inspection.

LPA's observed that Licensee and Licensee's husband did not have a current CPR/First Aid. Licensee will call Analyst, Soto and provide the day and time of the CPR/First Aid class.

See subsequent page 809D for deficiency cited under Title 22 Regulations.

This report was reviewed with Licensee and a Notice of Site Visit was posted. Appeal of Rights were provided to Licensee.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2019
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: PRASAD, TINA
FACILITY NUMBER: 573616993
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2019
Section Cited

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1596.866 Additional health and safety training; condition of licensure.(a) (1) In addition to other required training, at least one director or teacher at each day care center, and each family day care home licensee who provides care, shall have at least 15 hours of health and safety training, and if applicable, at least one additional hour of training pursuant to clause (ii) of subparagraph (C) of paragraph (2).

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This requirement was not met as evidence by; LPA did not observed a current CPR for Licensee.This is a violation that if not corrected can pose a health and safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2019
LIC809 (FAS) - (06/04)
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