Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503907113
Report Date: 04/24/2018
Date Signed: 04/24/2018 11:43:07 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
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: 5DATE:
04/24/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Sophia PrakashTIME COMPLETED:
12:15 PM
NARRATIVE
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LPA's Claudia Henley & Robert Gutierrez conducted a random visit inspection #1 today. We were met by licensee. There were five 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 2019. A child roster is maintained and current. Fire and disaster drills were conducted within the six months. The day care hours and days of operation are: Monday through Friday, 6:00 a.m. to 6:00 p.m. Licensee states she does not give children any medication. LPA's reviewed with licensee the Mandated Abuse Reporter Training. Information was left today which discusses AB 1207 and the website to use.

The following is cited per Title 22 Regulations (see page 2). Appeal Rights left with Ms. Prakash.
Site Visit Notice posted on the parent board. Exit interview was conducted.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2018
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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: PRAKASH, SOPHIA FAMILY CHILD CARE
FACILITY NUMBER: 503907113
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/24/2018
Section Cited
HSC
1597.622
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Health & Safety Code - Section 1597.622: The Licensee to have appropriate records for immunizations (Influenza, Pertussis & Measles). Licensee stated that she thinks she had all of the immunizations them done in the past, but those records were not available for review today.
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Licensee to send a copy of the immunization records to the department by 5/24/18 to avoid a civil penalty in the future.
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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: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2018
LIC809 (FAS) - (06/04)
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