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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700401
Report Date: 05/29/2024
Date Signed: 05/29/2024 03:09:41 PM

Document Has Been Signed on 05/29/2024 03:09 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:SIDIGIDDA, SRUTHIFACILITY NUMBER:
435700401
ADMINISTRATOR/
DIRECTOR:		SIDIGIDDA, SRUTHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 207-5377
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/29/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:38 AM
MET WITH:Applicant Sruthi SidigiddaTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On 5/29/2024 at 10:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Pre-Licensing Visit. LPA met with the Applicant Sruthi Sidigidda. Present on this visit was the Applicant's spouse SAINATH REDDY KOTLA. The home plans to operate from Monday to Friday 8am to 6pm.

The home was toured to conduct a Health and Safety Inspection with the Applicant. The home is a two-story home. The home is neat and clean with heating and ventilation for safety and comfort.

The On-Limit Areas are the Living Room, Dining Room, Kitchen, Family Area, Hallway Bathroom next to the garage and the Backyard. The Backyard will be a designated outdoor play area that is fully fenced. LPA observed a safety gate installed in the bottom of the stairs.

The Off-Limit Areas are the Garage and the entire Second Floor. LPA Estoesta reminded the Applicant that the Off-Limit Areas will be inaccessible to children in care by closed and or locked doors and or a fence/safety gate with visual supervision.

There are no pools, hot tubes, or any other bodies of water. LPA reminded the Applicant that all hazardous materials and toxins are kept out of reach from children and are not accessible. The designated isolation area is the bedroom number 3 located at the 2nd story, when a child gets sick in day care.

The home has a fully charged fire extinguisher 3A40BC, smoke detector, carbon monoxide, telephone. As per the applicant, there are no firearms on the premises. The home does have a fireplace at the Family Room that was blocked by children’s toy storage. There are ample age-appropriate toys, play equipment and materials that appear to be safe and in good condition.

The applicant provided proof of control of property. LPA reviewed the applicant's Property Deed dated 9/1/2021 and Mortgage Bill dated 3/6/2024. The home Fire Inspection submitted evacuation maps and documents have been reviewed and are approved by City of Milpitas Fire Department on 5/20/2024.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
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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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: SIDIGIDDA, SRUTHI
FACILITY NUMBER: 435700401
VISIT DATE: 05/29/2024
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The Applicant completed the Preventive Health and Safety Training on 4/4/2024, CPR and First Aid Training on 3/4/2024 and the Mandated Reporter General Training and Child Care Providers training online at https://mandatedreporterca.com/ on 3/31/2024. The Applicant has records of Measles and Pertussis immunization, Influenza vaccination and TB clearance. LPA reminded the Applicant that only the Influenza vaccination can be decline with a written declination.

LPA provided the following technical assistance during inspection.
1. Review of all required forms and information to be kept on file (LIC 311 D Children’s forms/Records, Facility forms/Records, Information to be posted) 2. Incidental Medical Services 3. Reporting and Notifications Requirements 4. General Information (Child Care Updates, Provider Information Notification, etc.) 5. Miscellaneous Resources (Resources and Referral Agencies, Child Care Law Center, etc.) 6. Family Child Care Home Licensing Laws and Regulations 7. Child Care Advocate and Technical Support Program 8. Resources for Providers https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers and How to Sign Up for Guardian for Agencies.

LPA discussed the safe sleep regulations with the applicant 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 applicant 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.

Applicant reminded stated that if she will transport children, that children cannot be left in parked vehicles unattended at any time, the motor vehicles used to transport children in care shall be maintained in safe operating conditions and all vehicle occupants must be secured in an appropriate restraint system. Applicant understood.

LPA discussed the INSPECTION AUTHORITY OF THE DEPARTMENT, 102391 (b) The licensee shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws or regulations. The Department shall exercise this authority as specified in Health and Safety Code Section 1596.8535(a). The applicant understood.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SIDIGIDDA, SRUTHI
FACILITY NUMBER: 435700401
VISIT DATE: 05/29/2024
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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.

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.

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 platform.

The Applicant Family Child Care Home Large License Application was granted today, 5/29/2024.

Exit interview conducted and report was reviewed with the Applicant's Spouse SAINATH REDDY KOTLA.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC809 (FAS) - (06/04)
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