394500472-1-28-2022-53-CC-SWIS-CB4Q6W-20220128105413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 394500472
Report Date: 01/28/2022
Date Signed: 01/28/2022 10:54:21 AM

Document Has Been Signed on 01/28/2022 10:54 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	SAPRE, SARIKA		FACILITY NUMBER:	394500472
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 8	DATE:	01/28/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:27 AM
MET WITH:	Sarika Sapre		TIME COMPLETED:	10:53 AM

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On January 28, 2022, Licensing Program Analyst (LPA), Stacey Williams met with Licensee, Sarika Sapre for the purpose of conducting a case management inspection to increase the facility capacity. Licensee applied to change from a Small Family Child Care Home to a Large Family Child Care Home. LPA observed eight children present in the home. Licensee's Assistant and husband was also present in the home. All adults have criminal record clearances.

LPA and Licensee toured the home inside and out. The home consists of 4 bedrooms, 3 bathrooms, kitchen, living room area, garage and fenced backyard. Off limit areas will consist of the entire upstairs, kitchen and the garage. Licensee acknowledged that children may never enter the off-limit areas. Licensee stated there are no new residents in the home since licensure.

LPA observed A functioning smoke and carbon monoxide detectors and fire extinguisher were observed in the home. The Fire Safety Inspection Clearance has been cleared by French Camp-McKinley Rural FPD on 1/21/22.

REPORT CONTINUED ON SUBSEQUENT PAGE, 809C

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: SAPRE, SARIKA	FACILITY NUMBER: 394500472
	VISIT DATE: 01/28/2022

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LPA observed that there were no hazardous items accessible to children. Licensee stated that she understands that any poisons must be kept under lock and key. LPA observed that cleaning materials were inaccessible. Licensee stated there are no weapons in the home. Toys appear to be safe. The backyard is fenced.

Records, postings and reporting requirements were discussed. LPA discussed safe sleep regulations and COVID-19 Update Guidance: Childcare Programs and Providers as well as Licensee’s current best practices regarding sanitizing the home, hand washings and wearing face coverings. Licensee was encouraged to visit the department website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, self-assessment guides, regulations and legislation pertaining to family child care homes. .

Effective today 1/28/22, facility is approved for a Large Family Child Care License to serve 12 children (when there is an assistant present) with no more than 4 infants, or capacity of 14 children when 1 child is enrolled in Transitional Kindergarten or above and 1 child at least age 6 with a maximum of 3 infants. Without assistant, the ratios revert to those for small family childcare home.

An exit interview was conducted with Licensee, Sarika Sapre. Facility evaluation report and Notice of Site Visit was provided to Licensee and shall remain posted for 30 days.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

LIC809 (FAS) - (06/04)

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