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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500789
Report Date: 03/17/2023
Date Signed: 03/17/2023 12:58:45 PM

Document Has Been Signed on 03/17/2023 12:58 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:SANKARAMADDI, VEENAFACILITY NUMBER:
394500789
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/17/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:33 PM
MET WITH:Veena SankaramaddiTIME COMPLETED:
01:15 PM
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On 3/17/23, Licensing Program Analyst (LPA) Corina Beckby conducted a follow up prelicensing visit and met with applicant, Veena Sankaramaddi.

The purpose of the inspection was to verify the adult occupant living in the ADU above the garage, which has the same home address, was cleared via Guardian. Guardian reports a clear and eligible status for the occupant in the home. LPA advised that when the occupant leaves, to contact Guardian and remove occupant from their list.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Effective today March 17, 2023, the facility is licensed to serve a MAX. CAP: 6 - NO MORE THAN 3 INFANTS OR 4 INFANTS ONLY. CAP 8 - NO MORE THAN 2 INFANTS, 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6.

An exit interview was conducted, and the report was reviewed with Applicant, Veena Sankaramaddi. Licensee Appeal Rights were provided
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2023
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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