015700012-7-24-2023-52-CC-RHAR-CU2TCM-20230724143658

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700012
Report Date: 07/24/2023
Date Signed: 07/24/2023 02:37:07 PM

Document Has Been Signed on 07/24/2023 02:37 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	THONDAPU, LAKSHMI		FACILITY NUMBER:	015700012
ADMINISTRATOR:	THONDAPU, LAKSHMI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 894-9689
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 13	CENSUS: 11	DATE:	07/24/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Lakshmi Thondapu		TIME COMPLETED:	02:45 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	On July 24, 2023 at approximately 10:45am Licensing Program Analyst (LPA) Haderer arrived unannounced and met with licensee Lakshmi Thondapu for the purpose of conducting an annual inspection. Present for today’s inspection is the licensee, her fingerprint cleared and TB tested husband, two fingerprint cleared assistants, licensee's two adolescent children; and 11 children in care (3 infants; 7 two-years old; 1 three-years old. The facility is in ratio today. The hours of operation remain Monday-Friday, 8:30am to 6:00pm. The home is a tri-level design, with 4 bedrooms, 3 bathrooms, family room, living room, dining room, kitchen, attached 2-car garage, front and backyards. Child gates are present and in use on all stair cases. The home is neat and clean with heating and ventilation for safety and comfort. ON LIMIT AREAS: Ground floor bedroom (preschool room); family room (day care area); ground floor bathroom; backyard area on south and east side of the yard. Off-limit-areas include: the entire 2nd and 3rd levels of the home that includes the kitchen, dining room, main living groom, all 3 upstairs bedrooms and bathrooms, front yard and attached 2-car garage. The off-limit areas will be made inaccessible by closed and/or locked doors, child gates, child-proof covers over doorknobs and through visual supervision. The backyard play area has a small plastic child fence to keep smaller children contained within the covered patio area. There is an additional small plastic fence in the grass area. Backyard property has a wooden 6 foot perimeter fence and contains two locked sheds on the side yards. The back left corner of the wooden fence has broken down and panels have fallen out – see LIC809D for deficiency. The ISOLATION AREA will be in the bedroom on the bottom floor away from other children on care. There are ample age appropriate toys in good condition and activities available for children. There is a small fountain in the corner of the backyard that is empty and not in use. Licensee is aware that fountain must always be kept empty. LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: THONDAPU, LAKSHMI	FACILITY NUMBER: 015700012
	VISIT DATE: 07/24/2023

NARRATIVE

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The home has two fully charged fire extinguishers; a 2A10BC near the entrance door of the house; a 3A40BC in the family room (day care area). The home has appropriate smoke detectors and carbon monoxide detector (tested and working). There is a fireplace in the family room (day care area) that is fully blocked off with a screen and a bookcase for toys in front of it. The licensee conducts disaster drills at least once each 6 months, the last drill was completed on May 3, 2023. Per licensee, there are no firearms in the home.

The licensee’s Health and Safety training is completed, and CPR and First Aid certificate is current and expires 3/12/2024. Mandated Reporter expired one week ago on 07/15/2023. A Technical violation was issued to ensure licensee renews the certificate. Assistant’s CPR and First Aid certificate is current and unexpired; Mandated Reporter is also current and unexpired. Licensee and assistants are in compliance with immunization laws pertaining to family day care homes.

Licensee was reminded that CPR/1st Aid and Mandated Reporter certificates must be renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

Children’s and facility files were reviewed, a roster was provided and a photocopy taken for the office file. All children’s files were complete and in good order. Personnel files were reviewed and found to be complete an in good order.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: THONDAPU, LAKSHMI	FACILITY NUMBER: 015700012
	VISIT DATE: 07/24/2023

NARRATIVE

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LPA discussed the safe sleep regulations with licensee 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 licensee 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, licensee confirmed there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

The following deficiency was observed during today's inspection:

· A section of the backyard fence has broken and has missing panels.

See 809D for deficiencies cited today. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

**Please see LIC 9102 for Advisory Notes.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Lakshmi Thondapu

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/24/2023 02:37 PM - It Cannot Be Edited

Created By: Russell Haderer On 07/24/2023 at 02:05 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: THONDAPU, LAKSHMI	FACILITY NUMBER: 015700012
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in that the backyard wooden fence has broken down in the left corner of the yard; panels have fallen out providing access to a neighbor's yard which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/31/2023
	Plan of Correction
1 2 3 4	Licensee to have fence repaired or replaced and until it has been corrected, licensee is to ensure no children go in the area of the opening.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Chandra Charles

LICENSING EVALUATOR NAME:

Russell Haderer

LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

LIC809 (FAS) - (06/04)

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