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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417017
Report Date: 02/11/2022
Date Signed: 02/11/2022 09:53:40 AM

Document Has Been Signed on 02/11/2022 09:53 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SREERAM, KAVITHAFACILITY NUMBER:
434417017
ADMINISTRATOR:KAVITHA SREERAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 913-5745
CITY:SAN JOSESTATE: CAZIP CODE:
95148
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/11/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:48 AM
MET WITH:Kavita SreeramTIME COMPLETED:
10:00 AM
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Licensing Program Analyst Pietro Hernandez conducted a Scheduled Pre licensing Case Management - other visit and was greeted by Kavita Sreeram. Applicant has submitted an application for a large family day care for Monday through Friday, 8am-6pm, Fire Clearance was granted on 1/14/22. Applicant lives in her home with her husband Naga Mahesh Sreeram and her two adult children Pallavi Sreeram and Naga Raghay. They own the home. Which has a swimming pool. The back yard is off limits but they are still required to meet the minimum standards as stated in Title 22.

The initial Pre licensing visit the LPA observed the protective fence surrounding the swimming pool was only 4 feet in height. The purpose of this subsequent visit to the Applicant's home was to observe the newly replaced fence surrounding the pool is at least 5 feet in height.

LPA Pete Hernandez measured and observed the new fencing at 5 feet in height. This is contestant with the Title 22 requirements. The pool door also swings away from the pool and the latch is no more than 6 inches from the top of the pool access door.

The back yard will remain off limits and the doors will be locked during child care operation hours.

A large family child care home license will be granted upon manager's review. Applicant has also provided a completed Preventative Health Practices course through EMSA.
Applicant understands that she will needed to repair the pool fence and bring it up to Title 22 Regulation code and it has been reinspected prior to the application being presented to management for final approval.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2022
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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