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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434409550
Report Date: 01/09/2025
Date Signed: 01/09/2025 02:03:11 PM

Document Has Been Signed on 01/09/2025 02:03 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KARUMURI, ARUNAFACILITY NUMBER:
434409550
ADMINISTRATOR/
DIRECTOR:		KARUMURI, ARUNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 583-7974
CITY:SAN JOSESTATE: CAZIP CODE:
95135
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
01/09/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Aruna KarumuriTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Pedro Solorio Gutierrez and Farida Raja met with Licensee Aruna Karumuri for an annual/random visit. LPAs disclosed the purpose of today’s inspection. Present were Licensee Aruna, Spouse Ramoji Rao, and Staff Kant Kaur, and 4 day care children. Days and hours of Operation are Monday to Friday, 8:00am to 6:00pm. The adults that reside in the home are licensee Aruna, Spouse Ramoji.

A review of staff records on 1/9/2025 indicated that all facility staff or individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee Aruna 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. Assistant Kant did not have immunization records in file.

LPAs inspected the indoor and outdoor areas during this inspection. The facility is a two-story home. LPAs observed a barricaded fireplace in the home. LPAs did not observe bodies of water. There is fencing in the backyard. LPAs observed that the home is clean and orderly, with heating and ventilation for safety of children. LPAs observed safe and sufficient materials, toys, and play equipment for the day care children. LPAs observed cleaning products in lower cabinets in the on-limit kitchen which have not been made inaccessible to children. LPAs observed cleaning products under the bathroom sink and toothpaste in the drawers that are not out of reach of children. LPAs reminded Licensee that all cleaning products, toothpaste, shampoos, air fresheners, razors, mouthwash, perfumes, medications and similar items need to be made inaccessible to children.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
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.

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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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KARUMURI, ARUNA
FACILITY NUMBER: 434409550
VISIT DATE: 01/09/2025
NARRATIVE
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LPAs observed a fully charged 3A40BC fire extinguisher. LPAs reminded Licensee that fire extinguishers need to be serviced every year. A working combo smoke or carbon monoxide detector. Licensee states that there are no weapons/firearms in the home. Off limit areas indoor: 2nd floor, den, section of the family room and attached garage. LPAs observed that the stairs leading to the upper level were only partially barricaded. LPAs reminded Licensee that stairs need to be completely barricaded, and off limit areas made inaccessible, when caring for children under 5 years of age. Licensee states that there are no animals in the home.

LPAs observed licensee has a current CPR and First Aid Certification expiring 12/2025 and Mandated Reporter training expires on 2/20/2025. LPAs observed a current roster. LPAs observed a Fire/Disaster drill log during today’s visit that was conducted on 11/11/2024. LPAs reminded Licensee that fire drill need to be conducted every 6 months and documented. LPAs reviewed 4 of children’s files and observed all required documents. No IMS is administered by the Facility. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.


Supervision of children was discussed and understood that licensee must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands the capacity. Licensee understands that if children are transported via vehicle, children cannot be left in parked vehicles unattended at any time.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
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
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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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KARUMURI, ARUNA
FACILITY NUMBER: 434409550
VISIT DATE: 01/09/2025
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Licensee Aruna was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee Aruna and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee Aruna 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.

Three Type B citations and 2 technical violations were issued during today's inspection. Appeal rights provided. An exit interview was conducted and report was reviewed with licensee Aruna.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
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
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Document Has Been Signed on 01/09/2025 02:03 PM - It Cannot Be Edited


Created By: Pedro Solorio-Gutierrez On 01/09/2025 at 01:23 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KARUMURI, ARUNA
FACILITY NUMBER: 434409550

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on(observation), the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed cleaning products accessible under the sink of the kitchen sink and cleaning products and toothpaste within reach in the bathroom the children use.
POC Due Date: 01/23/2025
Plan of Correction
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Licensee will make cleaning products and similar items inaccessible and will submit proof to LPA.
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 (record review), the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Last drill was conducted in July 2024.
POC Due Date: 01/23/2025
Plan of Correction
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Licensee will conduct a drill and submit proof to LPA.
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:Joel Segura
LICENSING EVALUATOR NAME:Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


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Document Has Been Signed on 01/09/2025 02:03 PM - It Cannot Be Edited


Created By: Pedro Solorio-Gutierrez On 01/09/2025 at 01:38 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KARUMURI, ARUNA
FACILITY NUMBER: 434409550

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on (record review), the licensee did not comply with the section cited above in 1 staff which poses/posed a potential health, safety or personal rights risk to persons in care. Assistant is missing measles immunization.
POC Due Date: 01/23/2025
Plan of Correction
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Licensee will have staff complete immunizations and submit proof to LPA.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Joel Segura
LICENSING EVALUATOR NAME:Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


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