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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421015
Report Date: 06/26/2024
Date Signed: 06/26/2024 11:03:41 AM

Document Has Been Signed on 06/26/2024 11:03 AM - 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:HOSAHALLI, VINUTHAFACILITY NUMBER:
013421015
ADMINISTRATOR/
DIRECTOR:		HOSAHALLI, VINUTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 793-6971
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
06/26/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:17 AM
MET WITH:Vinutha HosahalliTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On June 26, 2024 at approximately 8:17am Licensing Program Analyst (LPA) Randy Miranda arrived and met with the licensee Vinutha Hosahalli for the purpose of conducting an unannounced 1-year annual inspection for Health and Safety compliance. Hours of operation are Monday -Friday 8:15am to 5:45pm. Present in the home today was the licensee, her fingerprint and TB tested assistant, daughter age 17, son age 13, and 8 children in care (3 infants; 5 two-years old). The facility is IN RATIO and in compliance with the AGE RATIO requirements.

The facility is a single-story home with 3 bedrooms; 2 bathrooms; living room; family room (day care area); dining room; kitchen; attached 2-car garage; front, back and side yards. There is an unused and screened fireplace in the living room. The home has heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the on-limits living room away from the other children in care. All required postings are present.

ON LIMIT AREAS: Family room (day care area), living room, kitchen, dining room, first bedroom on the right side of the hall (with a door that connects with the hall way and family room), hallway leading to the house bathroom, the house bathroom and master bathroom. Licensee was reminded that other than wipes or things used for the children in the on limits children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products.



OFF LIMIT AREAS: Bedroom on the right side of hall next to the main house bathroom; master bedroom; attached 2-car garage; and northern side-yard in the backyard area. The off-limit areas will be inaccessible by child gates, closed and/or locked doors and adult supervision.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015
VISIT DATE: 06/26/2024
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The home has a fully charged 2A10BC fire extinguisher mounted in the kitchen by the small garage door, smoke and carbon monoxide detectors (tested and working) and a working telephone. Fire drills are conducted at least once every 6 months, the last drill was completed December 2023.
Licensee has ample age-appropriate toys and learning materials inside and outside the home. The outdoor play area is free from defects and dangerous conditions. Per licensee, there are no firearms in the home. Drop-down cribs are not allowed at the day-care facility. Toxins, medicines, and hazardous items were inaccessible during today's inspection.

LPA reviewed Children’s files and made a copy of the roster for the office file. All files were organized and complete. The licensee owns the property and does not carry liability insurance. All children’s files contained the LIC282 Notice of no insurance and all were signed and dated. Licensee and assistant were reminded by LPA of the Infant Safe Sleep Plan and to keep a current sleep log record.

Licensee and helper have all required immunizations. CPR/1st Aid was available for both Licensee and assistant, which expires on 06/24/2025. Licensee’s Mandated Reporter expires on 05/19/2025. Assistant did not complete Mandated Reporter due to the unavailability in the assistant’s native language. Licensee was reminded that CPR/1st Aide and Mandated Reporter is to be renewed every two years.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015
VISIT DATE: 06/26/2024
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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

Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with licensee 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 licensee 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HOSAHALLI, VINUTHA
FACILITY NUMBER: 013421015
VISIT DATE: 06/26/2024
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There were no deficiencies issued today.

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: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
LIC809 (FAS) - (06/04)
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