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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495224
Report Date: 01/09/2024
Date Signed: 01/10/2024 08:21:34 AM

Document Has Been Signed on 01/10/2024 08:21 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:RAJAPAKSE FAMILY CHILD CAREFACILITY NUMBER:
197495224
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
01/09/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Indrani RajapakseTIME COMPLETED:
12:45 PM
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On January 9, 2024, Licensing Program Analyst (LPA), V. Wheatley and conducted a case management inspection and was met by Licensee, Indrani Rajapakse. The licensee's assistant and daughter, Staff #1 was also present. The purpose of the inspection is for an increase in capacity from small license to a large license.

LPA toured the home inside and outside. LPA observed 4 children on the premises of which 3 are under 2 years old. Licensee would like to include an additional room to be used for the day care. There are three bedrooms and three bathrooms. The licensee is currently using the living room and family room for child care. Licensee is requesting to use the master bedroom for napping only. LPA inspected the master bedroom and it is safe and is being approved to use. The bathroom inside of the master bedroom will not be used for the children. LPA observed two play pens for the two infants that are enrolled.

LPA reviewed the files. The licensee's CPR/first aid expires 10/2025. The licensee's Mandated Reporter Training expires 5/2024.

LPA inspected the outdoor area and observed a small dog behind a fence which is inaccessible to children. Licensee was advised to keep the dog food inaccessible to children.

LPA observed the home in full Title 22 Regulations compliance. No deficiencies observed.

A license for 14 capacity will be granted by the Department when the internal document is received from the Los Angeles County Fire Department. Licensee states the home was inspected by the Gardena Fire Department prior to Christmas holiday.

Exit interview. A copy of this report will be provided to the licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2024
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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