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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100863
Report Date: 11/16/2023
Date Signed: 11/16/2023 02:56:15 PM

Document Has Been Signed on 11/16/2023 02:56 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SHANKARLINGAIAH, SOWMYASHREE FAMILY CHILD CAREFACILITY NUMBER:
376100863
ADMINISTRATOR:SOWMYASHREE S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 371-1514
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 11DATE:
11/16/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Licensee, Sowmyashree ShankarlingaiahTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by licensee, Sowmyashree Shankarlingaiah. LPA was granted entry after identifying herself and disclosing the purpose of the visit. There were 11 children present and two helpers that are background check cleared and associated to the facility. The licensee has a two-level home with 3-bedrooms and 3-bathrooms. The following areas are used for daycare: living/dining/family room, bathroom 3, and Backyard. Off limit areas are all upstairs and include master bedroom, master bathroom, bedroom 2, bedroom 3, bathroom 2, kitchen, front yard, and garage. Safety gate is present at the bottom of the stairs and in the kitchen entrance, making it inaccessible to children. There is an operational smoke alarm/carbon monoxide alarm combo and fire extinguisher maintained in the home in the hallway area that meet regulations. The home has electrical outlet covers throughout and maintains a First Aid Kit in the closet. The fireplace has a glass/screen cover and is locked, preventing access and fireplace tools have been removed. There are adequate age-appropriate toys, books, games, and napping mats. Licensee stated no weapons or ammunition in the home and LPA did not observe any. Licensee states there are no bodies of water on her property and there is no community pool either. The outdoor play area is a fenced backyard with age-appropriate toys. Per licensee, operating hours are from 9:00am-5:00pm, Monday thru Friday. There is a fire extinguisher 3A40BC, in the dining room area that meets regulations.

Storage for poisons, detergents, cleaning solutions, medications are inaccessible by safety gates, however the storage shed was unlocked and contains bug spray and detergents and licensee stated she will replace with a new lock that works properly to make the items inaccessible and submit proof. Licensee provided a fire/disaster drill log that shows last drill was conducted on 10/14/22. The home is kept clean and orderly with heating and ventilation for safety and comfort.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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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Document Has Been Signed on 11/16/2023 02:56 PM - It Cannot Be Edited


Created By: Saraliz Velando On 11/16/2023 at 01:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SHANKARLINGAIAH, SOWMYASHREE FAMILY CHILD CARE
FACILITY NUMBER: 376100863

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in that the storage shed in backyard by the garage was unlocked and stores bug spray and detergents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/17/2023
Plan of Correction
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Licensee states that she will replace the lock with a new one that works properly and submit proof to the dept by 11/17/23.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in that licensee's last fire drill was conducted over a year ago on 10/14/22 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/01/2023
Plan of Correction
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Licensee states that she will conduct a disaster drill and submit proof to the dept by 12/1/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Saraliz Velando
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2023


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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SHANKARLINGAIAH, SOWMYASHREE FAMILY CHILD CARE
FACILITY NUMBER: 376100863
VISIT DATE: 11/16/2023
NARRATIVE
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Licensee has no infants currently on her roster. Pediatric CPR and First Aid card for provider will expire January 2025. Licensee also has a Mandated Reporter training certificate that expired in September 2023 and licensee stated she will renew by 12/1/23. There is a working telephone and email address.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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.

LPA discussed the safe sleep regulations with licensee or facility representative and discussed 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 licensee for facility representative 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.

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.htmyour inspection experience. If you have any questions regarding the process or tools, please send them by email to: inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SHANKARLINGAIAH, SOWMYASHREE FAMILY CHILD CARE
FACILITY NUMBER: 376100863
VISIT DATE: 11/16/2023
NARRATIVE
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Deficiencies were cited on LIC809-D and a technical violation was given for the expired Mandated Reporter certificate.

Exit interview was conducted and report was reviewed with licensee, Sowmyashree Shankarlingaiah. Copy of report and Appeal Rights was given.

A notice of site visit was posted and must remain for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC809 (FAS) - (06/04)
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