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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500786
Report Date: 01/09/2025
Date Signed: 01/09/2025 03:03:35 PM

Document Has Been Signed on 01/09/2025 03:03 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:NANDIKANTI, PRAVEENAFACILITY NUMBER:
394500786
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/09/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Praveena NandikantiTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 01/09/25 Licensing Program Analyst (LPA) Corina Beckby met with the Licensee, Praveena Nandikanti for the purpose of a case management inspection that was initiated by the Licensee. During today's inspection, there were no children present.

Today's inspection was requested by Licensee to change some “off limit” areas to “on limits”. LPA toured the facility with Licensee. Licensee is requesting the entire backyard become on limits, as well as the Great room and dining room. Medication is stored in a top cabinet, inaccessible to children. Sharp objects are located in the pantry, inaccessible to children. Children will use the great room and dining room to access the backyard. During today's inspection LPA observed an updated facility sketch referring to the new on limit areas.

As of today's date, 01/09/2025, LPA Beckby has approved the great room, dining room and entire backyard as on limit areas. Off-limit rooms are: 2nd floor, garage, pantry, full bathroom downstairs, kitchen, and storage closet. LPA will change the license to reflect the changes that were made.

Facility evaluation report was reviewed and discussed with licensee. Exit interview was conducted. A Notice of Site Visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Licensee was advised she will be sent a new license to display in her home.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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