015700143-10-13-2021-52-CC-RHAR-C7RQ5Y-20211013115242

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700143
Report Date: 10/13/2021
Date Signed: 10/13/2021 11:52:58 AM

Document Has Been Signed on 10/13/2021 11:52 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	HASSAN GURUPRASAD, JYOTHI		FACILITY NUMBER:	015700143
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 8	DATE:	10/13/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:34 AM
MET WITH:	Jyothi Hassan Guruprasad		TIME COMPLETED:	12:05 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 October 13, 2021 at approximately 10:30am Licensing Program Analyst (LPA) Haderer arrived for an announced case management visit for a capacity change inspection. Present in the home today was licensee Jyothi Hassan Gurupradad, her fingerprint and TB cleared assistant and her fingerprint and TB cleared husband and eight children in care (2 infants, 3 two years-old; 3 three years-old, one infant was present but leaving). The home has an approved fire clearance, and a helper and will be approved as a large capacity today, therefore, the facility is in ratio. The hours of operation remain as 8:00am to 6:00pm. All requested documents were received for the increase of capacity application. The fire clearance for a capacity of 14 was received from the Fremont Fire Department on 10/1/2021. The Licensee was reminded to abide by the conditions of the fire clearance, no children allowed in the garage or the stand-alone detached accessory structure, permitted as a storeroom in the back yard. Ratios were discussed and a copy of proper ratio compliance was printed and left with the licensee. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home. The home was toured and inspected for health and safety. LPA inspected all on-limits areas, including the backyard and off-limits areas. The facility is a single story 3 bedroom, 2 bath home with an attached two-car garage and a stand-alone detached accessory structure, permitted as a storeroom in the back yard. Property is owned by the licensee and contains a living room, kitchen, three bedrooms and two bathrooms, an enclosed patio/sun room, a front and back yard (fenced) area. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the living room until the parent comes to pick up child, away from the other children in care.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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: HASSAN GURUPRASAD, JYOTHI	FACILITY NUMBER: 015700143
	VISIT DATE: 10/13/2021

NARRATIVE

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On-limit-areas include: Living room, main house bathroom, patio / sun room, the center portion of the back yard and side yard leading to the back yard area of the home. All exterior gates have padlocks on them. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area.

Off-limit-areas include: Kitchen, master bedroom and bathroom, second and third bedrooms in the home, the stand-alone detached accessory structure permitted as a storeroom in the back yard, attached 2-car garage and fenced off areas of the back yard. The off-limit area will be inaccessible by closed and/or locked doors, and/or by child supervision.

There is no fireplace in the home Per licensee, there are no firearms in the home.

Licensee has ample age-appropriate toys and learning materials inside and outside of the home. The home has a fully charged 2A10BC fire extinguisher mounted in the kitchen near the day care area. There are working smoke and carbon monoxide detectors (tested and functioning), and a working telephone. The Licensee's Health and Safety training is completed, and CPR and First Aid certificate is current and expires 05/17/2022. The applicant completed and received a certificate in mandated reporter training (verified AB1207), expires on 06/12/2023. The licensee is in compliance with the immunization laws which pertains to day care providers.

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 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

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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: HASSAN GURUPRASAD, JYOTHI	FACILITY NUMBER: 015700143
	VISIT DATE: 10/13/2021

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and provided a copy of the new regulations we well as a coply of LIC9227. Also discussed was 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 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.

This home is recommended for an increase of capacity as of today. This report will remain on file for 3 years.

A review of operating safely during the Covid-19 pandemic (RAST) was conducted.

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

Exit interview conducted and report was reviewed with the licensee Jyothi Hassan Guruprasad.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

LIC809 (FAS) - (06/04)

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