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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421015
Report Date: 07/12/2023
Date Signed: 07/12/2023 12:19:47 PM

Document Has Been Signed on 07/12/2023 12:19 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:HOSAHALLI, VINUTHAFACILITY NUMBER:
013421015
ADMINISTRATOR:HOSAHALLI, VINUTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 793-6971
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
07/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Vinutha HosahalliTIME COMPLETED:
12:30 PM
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On July 12, 2023 at approximately 11:40am Licensing Program Analyst (LPA) arrived unannounced for a required increase in inspection visits due to recent Type A deficiencies in violation of licensee regulations for being over capacity and out of ratio. Present on arrival was the licensee, her assistant Baljeet Kaur and 10 children in care (4 infants, 5 two years old; 1 three years old).

LPA reviewed the child roster and checked it against all the children who were present for their age, the facility is in ratio and capacity compliance today. LPA also conducted a visual inspection of all inside and outdoor areas and confirmed there were no other children present.

As a condition of the Type A deficiency issued on May 17, 2023 inspection, licensee was required to enroll in a class for child care and supervision and write up and submit a paper to licensing with a synopsis of what she learned. LPA collected 2 certificates of required course completion for:
- First Steps in Child Care (completed June 30, 2023)
- Safe Environments in Child Care (completed 7-05-2023)
Licensee to submit the write up of the synopsis of what was learned.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Vinutha Hosahalli.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
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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