Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503907113
Report Date: 07/19/2019
Date Signed: 07/19/2019 11:46:17 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: 7DATE:
07/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Sophia PrakashTIME COMPLETED:
12:30 PM
NARRATIVE
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LPA Claudia Henley conducted a random visit inspection #3 today. I was met by licensee and licensee spouse/assistant who was providing supervision. 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 July 22, 2019. Licensee has a CPR/FA certification course scheduled this month. A child roster is maintained and current. Fire and disaster drills were conducted within the six months. Licensee states she does not give children any medication. Licensee is current on the online Child Abuse Mandated Reporter Training and provided proof of immunization. Licensee spouse/assistant does not have record of immunization or proof of having the online Child Abuse Mandated Reporter Training course. The day care hours and days of operation are: Monday through Friday, 6:00 a.m. to 6:00 p.m.

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.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
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 2
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: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/19/2019
Section Cited
HSC
1596.8662
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Health & Safety Code - Section 1596.8662: Requires all licensed providers and employees to complete the training as specified on their mandated
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Licensee will send copy of the certificate showing that her spouse/assistant completed the training. Send to CCL by 8/19/19
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reporter duties and to renew the training every two years. Licensee spouse/assistant stated that he did not complete the mandated reporter online training.
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Type B
08/19/2019
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). available for review today.
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Licensee will send copies of the immunization record to CCL by 8/19/19
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Licensee spouse/assistant stated that he did have the immunizations, but does not have those records
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC809 (FAS) - (06/04)
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