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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415834
Report Date: 11/02/2022
Date Signed: 11/02/2022 01:51:41 PM

Document Has Been Signed on 11/02/2022 01:51 PM - 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PRASAD, SHARINAFACILITY NUMBER:
013415834
ADMINISTRATOR:PRASAD, SHARINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 293-9623
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
11/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Sharina PrasadTIME COMPLETED:
02:36 PM
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Licensing Program Analyst Sidney Cortez, met with licensee Sharina Prasad for an Unannounced Annual Random Inspection. Present for this visit was the licensee Sharina Prasad, her fingerprint cleared assistant Amrit Singh and 4 pre school age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:00AM until 6:00 PM, MONDAY-FRIDAY.
The home is a one story which consists of 3 bedrooms, 2 bathrooms, living room, dining area/kitchen, daycare room, play room, family room/day care room, garage, and fenced backyard. The home is neat and clean with heating and ventilation for safety and comfort.


On-limit-areas are the: Living and dining room, kitchen, family room, backyard, bathroom next to family room. The OFF LIMIT AREAS are all the bedrooms, hallway bathroom and garage which will be inaccessible by closed and/or locked doors and visual supervision at all times. The ISOLATION AREA will be a portion of the family/day care room.

There are no pools, hot tubs or any other bodies of water on the premises. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible today.The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The applicant’s Health and Safety training is completed and CPR and First Aid certificates are current and expire JUNE 2023. The applicant is in compliance with new immunization laws which pertain to day care providers. Per applicant, there are no firearms in the home. The licensee's mandated reporter training is current and expires (JUNE 2023). Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on MAY, 2022. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review. See 809 C for Continuation
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PRASAD, SHARINA
FACILITY NUMBER: 013415834
VISIT DATE: 11/02/2022
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Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov.

LPA Cortez provided a copy of Safe Sleep-in child care brochure, a handout "What Does A Safe Sleep Environment Look Like," and a copy of the new California Car Seat Law Changes. The licensee was provided information regarding effects of Lead Exposure and testing requirements (Assembly Bill 2370).

This home is recommended for licensing. This report shall remain on file for 3 years. Exit interview conducted with licensee.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC809 (FAS) - (06/04)
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