Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503907113
Report Date: 05/13/2016
Date Signed: 05/13/2016 12:32:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:PRAKASH, SOPHIA FAMILY CHILD CAREFACILITY NUMBER:
503907113
ADMINISTRATOR:PRAKASH, SOPHIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 543-1622
CITY:SALIDASTATE: CAZIP CODE:
95368
CAPACITY:14CENSUS: 7DATE:
05/13/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Sophia PrakashTIME 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
LPA Claudia Henley conducted a random visit #2 today. I was met by licensee. There were seven children present. A tour of the home, inside and outside, as shown on the facility sketch is provided. Children were spoken to during visit. There are no "bodies of water" or firearms in this home. Poisons, cleaning compound's, medications and other hazardous items are inaccessible to children. Fireplace is in the home, but licensee stated they do not use the fireplace. There is a working fire extinguisher, carbon monoxide detector, a smoke detector, and there is adequate heating and ventilation for safety and comfort. A clean and orderly home is observed. There are no pets observed today. This is a two story home. Children do not have access to the second story. The stairs was barricaded with a child proof gate at the foot of the stairs. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. Children are supervised when outside in the fenced play area. Capacity as specified on the license is being maintained. Staff-child ratios are maintained. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Pediatric CPR/FA are current until 8/2017. A child roster is maintained and current. Fire and disaster drills were conducted in March 2016. The day care hours and days of operation are: Monday through Friday, 6:00 a.m. to 6:00 p.m.

Licensee stated she does not give medication at this time. If licensee is going to care for children needing Incidental Medical Services, you must submit a Incidental Medical Services Plan to the department. A copy of the Incidental Medical Services Plan was given to the licensee today for review.

No deficiencies were cited during today's visit.

Site Visit Notice posted on the parent board. Exit interview was conducted.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 243-8093
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2016
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 1