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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015701057
Report Date: 03/19/2025
Date Signed: 03/19/2025 02:03:47 PM

Document Has Been Signed on 03/19/2025 02:03 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:KODURU, DEEPTHIFACILITY NUMBER:
015701057
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
03/19/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Deepthi Koduru TIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On March 19, 2025 at 1:00PM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with the licensee Deepthi Koduru for an Announced Increase of Capacity Inspection. Present during the inspection were four (4) preschool age children.The licensee's home was toured for a health and safety inspection. The facility operates 8:30 AM-5:30 PM, Monday - Friday.

The two story home consist of three bedrooms, two bathrooms, living room, family room, kitchen, two car garage, and backyard. The home also has a 3A40BC fire extinguisher mounted on the wall in living room, a working telephone, and a first aid kit. Licensee rents the property, LIC 9151 and LIC 9149 was reviewed and copy in file. All documents have been received and reviewed for the increase of capacity.

ON LIMIT AREAS: Living room, family room, kitchen and half bathroom and rear yard. OFF LIMIT AREAS: Entire second floor and the two car garage. ISOLATION AREA: Section in the living room away from the children in care, until parents arrive. This home has fireplace in the family room (child care room) that has a barricade/screen to prevent access by children. All toxin, hazardous materials and cleaning products were observed to be in inaccessible areas. Outdoor Play Area: Rear yard is used for out door play and is the fully fenced. LPA observed that it is free from defects or dangerous conditions. There are no swimming pools and/or bodies of water, licensee confirmed there are no pools/bodies of water.

This home was granted a fire clearance on 03/12/2025 from the Livermore - Pleasanton Fire Department. Licensee was reminded to abide by the conditions of the fire clearance which restricts the use of the entire second floor and the garage to children in care. The licensee was reminded that an assistant must be present at all times when there is more than 8 children in attendance. Whenever the assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

See 809C
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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: KODURU, DEEPTHI
FACILITY NUMBER: 015701057
VISIT DATE: 03/19/2025
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Licensee's Pediatric CPR & first aid training is complete and expires 02/9/2027. The licensee's Mandated Reporter training is also complete on 12/18/2024. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 12/16/2024. All required forms are posted and visible for public view.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

A license for a large family childcare has been granted today, 03/19/2025. A notice of site visit was given to licensee and must remain posted for 30 days. Appeal Rights provided. Exit interview conducted and report was reviewed with licensee, Deepthi Koduru.

END OF REPORT

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC809 (FAS) - (06/04)
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