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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700337
Report Date: 04/20/2022
Date Signed: 04/20/2022 12:30:24 PM

Document Has Been Signed on 04/20/2022 12:30 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:TANDRA, SARALAFACILITY NUMBER:
015700337
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
04/20/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sarala and Sehkar TandraTIME COMPLETED:
12:40 PM
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On April 20th, 2022 at 9:30am, Licensing Program Analysts April Wright and Briana Plumboy, met with applicant Sarala Tandra, for an announced pre licensing visit to conduct a health and safety inspection. Present during today's inspection was the applicants fingerprint and cleared husband Sehkar Tammineni. Hours of operation will be Monday to Friday between 8AM to 6PM.

The applicants home is a single story home that is neat and clean with heating and ventilation to provide safety and comfort . The home has a 3 A40 BC fire extinguisher and have functioning carbon monoxide and smoke detectors. Applicant Tandra previously provided documents to show ownership of the property.

On Limits: The areas of the day care will consist of Day-care room, bathroom, living/dining room and backyard. Walk way from living to dining room will be used to the backyard.

Off Limits: 3 bedrooms, laundry room, garage and 2 bathrooms.

The backyard play area is fenced. There are age appropriate new toys for the children to utilize. There are no pools, hot tubs or any other bodies of water on the premises. Per licensee, there are no pets or firearm present at the home. All hazardous materials and toxins are out of the reach of children by installed safety locks on the cabinets and drawers.

Applicant's Preventive Health and Safety training was completed on 12/5/2021 and CPR/First Aid certificates are current and will expire on 4/9/2022. Applicant completed the Mandated Reporter training on 1/5/2022 and the applicants are following immunization law as it pertains to all day-care providers. A packet of forms pertaining to the children’s files and facility files were reviewed and discussed. LPA Wright discussed the Safe Sleep practices and regulations with applicant.



LPA Wright reminded the applicant of the following; Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. LPA discussed Unusual Incidents Reports.

The applicant is also reminded that any structural changes to the home or additions to the child care facility must be reported to Community Care Licensing. LPA Wright 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.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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: TANDRA, SARALA
FACILITY NUMBER: 015700337
VISIT DATE: 04/20/2022
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Applicant 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. Applicant was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

Individual Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information 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

This home is recommended for licensure. This report shall remain on file for 3 years. Exit interview conducted and appeal rights were given
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC809 (FAS) - (06/04)
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