435700382-1-28-2025-52-CC-MESA-DDCS99-20250128124022

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 435700382
Report Date: 01/28/2025
Date Signed: 01/28/2025 12:40:36 PM

Document Has Been Signed on 01/28/2025 12:40 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	MUPPALLA, NAVYA		FACILITY NUMBER:	435700382
ADMINISTRATOR/ DIRECTOR:	MUPPALLA, NAVYA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 752-1291
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	01/28/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Navya Muppala		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

On 1/28/2025 at 10 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Random Visit. LPA met with the Licensee Navya Muppalla and explained the nature of the visit. Present on this visit were the Licensee's Spouse, four (4) infants including Licensee's infant son, and 5 preschool children. The home operates from Monday to Friday, 8:30 am to 5:30 pm.

LPA toured the home to conduct a Health and Safety Inspection with the Licensee. The home is a one-story home. The home is neat and clean with central heating and ventilation for safety and comfort. The On-Limit Areas are the Living Room, hallway bathroom and backyard. The backyard will be a designated outdoor play area that is fully fenced. The Bedroom 1 adjacent to the Living Room will be used for the designated Isolation Area when a child gets sick. The Off Limit Area are the Kitchen, Master Bedroom with master bathroom, the Bedroom number 2 (Office room) adjacent to the Bedroom 1, the Bedroom 1, ADU Converted Garage and side yards. LPA discussed to the applicant that the Off Limit Areas will be inaccessible to children by locked doors, safety gates and visual supervision.

The home fireplace is blocked by a furniture to prevent access by children. Per licensee, there are no firearms in the home. The home does have a new fully charged 2A10BC fire extinguisher. The home has a working smoke detector and carbon monoxide. The home maintains telephone service which is the Licensee’s mobile phone. LPA observed child safety gates in the kitchen and the outdoor play area (backyard). There are ample age-appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies of water present during today's inspection. All hazardous materials and toxins are kept out of the reach of children, and it was observed that there are no toxins or hazardous items accessible today.

Because the licensee rents/leases the home, proof of landlord notification is required. The LPA reviewed the Property Owner/Landlord Notification form (LIC9151) that the Licensee confirms was provided to the property owner/landlord. The Licensee obtained a signed Property Owner/Landlord Consent form (LIC 9149). The home does not carry childcare liability insurance or a bond and maintain the signed form LIC 282 AFFIDAVIT REGARDING LIABILITY INSURANCE.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 10

Document Has Been Signed on 01/28/2025 12:40 PM - It Cannot Be Edited

Created By: Manel Estoesta On 01/28/2025 at 11:36 AM

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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MUPPALLA, NAVYA	FACILITY NUMBER: 435700382
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.5(b)(3)

Staffing Ratio and Capacity

(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (3) More than six and up to eight children, without an additional adult attendant, only if the criteria in Section 1597.44 of the Health and Safety Code are met. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	During the inspection, at 10:30 am, LPA Estoesta observed 4 infants, including the Licensee's own child and 5 preschool children present. 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.
	POC Due Date: 02/04/2025
	Plan of Correction
1 2 3 4	LPA discussed to the Licensee the Family Child Care Home capacity regulations. LPA advised the Licensee to update the facility's LIC 9040 and or hire an assistant provider. The Licensee understood and will submit proof to the Regional Office on or by the proof of correction due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Jason Jang

LICENSING EVALUATOR NAME:

Manel Estoesta

LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

LIC809 (FAS) - (06/04)

Page: 2 of 10

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MUPPALLA, NAVYA	FACILITY NUMBER: 435700382
	VISIT DATE: 01/28/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The Licensee completed the Health and Safety training completed on 04/15/2023, and CPR (Pediatric) and First Aid completed in April 2023 with validity period of 2 years. The Licensee completed the Mandated Reporter Childcare Providers training online on 04/14/2023 at https://mandatedreporterca.com/. LPA reminded the Licensee that Mandated Reporter Childcare Providers training requires 2-year renewal. The Licensee has records of Measles and Pertussis immunization and TB clearance. LPA reviewed the Children's Roster. Children’s files were reviewed, which included records of receipt for Parents' Rights Notice, Identification and Emergency Information and Consent for Emergency Medical Treatment form.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/

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 [or facility representative] 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.

Licensee 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.

Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

LIC809 (FAS) - (06/04)

Page: 9 of 10

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MUPPALLA, NAVYA	FACILITY NUMBER: 435700382
	VISIT DATE: 01/28/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

LPA informed the Licensee that this report dated 1/28/2025 include a Type B Violation with one (1) Citation which pose a potential risk to the health, safety, or personal rights of children in care.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A notice of site visit was given to and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee, Navya Muppala.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025

LIC809 (FAS) - (06/04)

Page: 10 of 10