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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700143
Report Date: 07/16/2024
Date Signed: 07/16/2024 02:34:56 PM

Document Has Been Signed on 07/16/2024 02:34 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:HASSAN GURUPRASAD, JYOTHIFACILITY NUMBER:
015700143
ADMINISTRATOR/
DIRECTOR:		HASSAN GURUPRASAD, JYOTHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 784-2623
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
07/16/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Jyothi Hassan GuraprasadTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 07/16/2024 at 2:00PM, Licensing Program Analyst (LPA) Jaleesa Jackson conducted an unannounced Plan of Correction Visit. LPA met with Licensee Jyothi Hassan Guruprasad. Also present for the visit were Licensee's fingerprint cleared husband, 4 infants, and 6 preschool aged children.

On 07/09/2024, LPA conducted a Plan of Correction (POC) visit. The Family Child Care Home (FCCH) was cited 1 Type A citations for being out of ratio by not having 4 infants and 4 preschool children present. Licensee is a Large Family Child Care Home but without an assistant provider provider in the home the Licensee was out of ratio.

The Licensee and LPA developed a Plan of Correction (POC) with submission due date of 07/10/2024 for the Type A and LPA conducted a POC visit to verify. Licensee has the LIC9224 completed and has them in the children's files.

LPA generated a Letter of Deficiency Citations Cleared and provided a copy to the Licensee.

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: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
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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