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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500551
Report Date: 03/16/2023
Date Signed: 03/21/2023 03:41:14 PM

Document Has Been Signed on 03/21/2023 03:41 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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:RAJAMANOHARAN, NAGAPRADHAFACILITY NUMBER:
394500551
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
03/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Nagapradha RajamanoharanTIME COMPLETED:
12:00 PM
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On 3/16/23, Licensing Program Analysts (LPA) Corina Beckby met with Licensee Nagapradha Rajamanoharan, for the purpose of an unannounced annual inspection. Licensee, licensee’s husband and 6-day care children were present during the inspection. (Ages: 3, 3, 4 ½, 5, & 5 years old). Facility hours of operation are Monday through Friday 8:30 am to 6:30 pm. LPA verified the annual fees are current.

Licensee stated there are no new residents in the home, which is a 2 story, 4 bedrooms, 3 bathrooms. All Adult residents have criminal record clearances. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A health and safety inspection was conducted in all areas accessible to children. Off limit areas are the garage and entire upstairs. A baby gate is secured on the second step of the stairs. Off limit areas are being made inaccessible by closed/locked doors, gates and/or supervision. Licensee acknowledges that children may never enter these off-limits areas. Upon entry, LPA observed required postings and a working phone. A 3A40BC fire extinguisher and first aid kit were observed in the kitchen. A dual functioning smoke and carbon monoxide detector was observed and tested in the hallway. LPA toured the kitchen area and verified knives were inaccessible to children and stored in a top cabinet in the kitchen. LPA observed cleaners stored in a top cabinet above the refrigerator inaccessible to children in care. Licensee stated there are no weapons in the home. Personal medications are stored upstairs in the office. Children’s medications are stored in a top cabinet in the kitchen. Toxic and hazardous items are inaccessible to children. There are no bodies of water on the premises.

CONTINUES LIC 809C...
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: RAJAMANOHARAN, NAGAPRADHA
FACILITY NUMBER: 394500551
VISIT DATE: 03/16/2023
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LPA observed age-appropriate toys for children in the playroom. Toys appear to be clean and safe. The outdoor play space is fenced. Licensee understands that prior to making alterations or additions to the home or grounds, the licensee shall notify the Department of the proposed changes.

Four children’s files were reviewed. LPA observed immunization records, emergency information, and signed Family Child Care Home Notification of Parents' Rights in children's files. A current roster is being maintained and fire and disaster drills were conducted at least once every six months and documented. The licensee’s immunization records for measles (MMR), pertussis (Tdap), and the flu are available in the facility file.

LPAs confirmed that current in person EMSA CPR and First Aid certification was completed and expires 12/17/23 and that AB1207 Mandated Reporter Training was completed expires 1/30/24. Licensee understands Mandated Reporter Training must be completed every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be found at: mandatedreporterca.com.

Licensee currently does not have any children enrolled that require IMS. If in the future 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.htm



Licensee is not caring of infants at this time. In addition, LPA discussed the infant safe sleep regulations with licensee. LPA discussed the requirement to check and log infant napping every 15 minutes for infants 24 months and under. LPA discussed the use of LIC 9227 Individual Sleeping Plan, for infants under 12 months. LPA discussed the use of LPA discussed the safe sleep regulations with licensee 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 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.
Continues on LIC 809C...
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: RAJAMANOHARAN, NAGAPRADHA
FACILITY NUMBER: 394500551
VISIT DATE: 03/16/2023
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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 your 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/process.

LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates. Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for childcare updates, current forms, legislation pertaining to family childcare homes.

An exit interview was conducted, and report was reviewed with the licensee, Nagapradha Rajamanoharan. A copy of this report will remain on file for a period of three years for public review upon request. Licensee's signature on this form acknowledges receipt of this form. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



In the areas that were evaluated, no deficiencies were cited during today’s inspection.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC809 (FAS) - (06/04)
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