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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422924
Report Date: 02/06/2024
Date Signed: 02/06/2024 04:13:47 PM

Document Has Been Signed on 02/06/2024 04:13 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CHINTA, LAKSHMIFACILITY NUMBER:
013422924
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/06/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Lakshmi ChintaTIME COMPLETED:
04:20 PM
NARRATIVE
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On 02/06/2024 at 1:55PM Licensing Program Analyst (LPA) Jaleesa Jackson met with Licensee Lakshmi Chinta for an Unannounced Required Inspection Visit. Present during the inspection was the Licensee and her fingerprint cleared husband. Licensee currently does not have any children enrolled and has not had children enrolled since 2020 due to the Covid-19 pandemic. Also residing in the home are the Licensee's two minor children. Licensee’s home was toured for a health and safety inspection. The facility plans to operate from 8:00AM – 6:00PM, Monday - Friday.

ON LIMITS AREA: Living Room, Bedroom #1(second door left of hallway), Dining Room, Kitchen, Bathroom #1 (bathroom next to dining room, and Backyard

OFF LIMITS AREA: Master Bedroom(last door on left of hallway), Bedroom #2 (second door on the right), Bedroom #3 (door at the end of the hallway), Bathroom #2 (first door on the left of hallway) and Garage. Off limits areas are made inaccessible by closed doors, gates and visual supervision.

ISOLATION AREA: Bedroom #1

The facility is a single story home owned by the Licensee. The inside of the home was observed to be neat and clean. The home is equipped with central heating and air for proper ventilation . Licensee stated she will provide all food for the children. Licensee stated that she will not transport children. There is a fully charged 2A10BC fire extinguisher, working combination monoxide detector/smoke detector, and telephone. The home does contain a fireplace but it is blocked off making it inaccessible to children. Licensee states that only the cemented area of the backyard will be used for children. The other area will be gated making it inaccessible to the children. There is a shed that will be inaccessible as well. Licensee stated that there are no firearms or pets or no one who smokes at the home. LPA did not observe any bodies of water in or around the home.
Continued 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2024
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: CHINTA, LAKSHMI
FACILITY NUMBER: 013422924
VISIT DATE: 02/06/2024
NARRATIVE
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Licensee’s Pediatric CPR and First Aid training has expired. Licensee’s Mandated Reporter training is expired as well. LPA informed Licensee that as long she holds an active license, even though there are no children currently enrolled, these training's must be kept current. This was brought up in the previous inspection dated 4/18/2023 as well. Licensee is to have EMSA approved Pedratric CPR and First Aid and Mandated Reporter training complete prior to enrolling any children. All adults living in the home have obtained a criminal record clearance. Due to no enrollment, there are no files to review.

There were two deficiencies cited on today's inspection. See 809-D for deficiencies.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days 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-andresources/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.

Continued on 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
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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: CHINTA, LAKSHMI
FACILITY NUMBER: 013422924
VISIT DATE: 02/06/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Lakshmi Chinta, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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

Exit interview conducted and report was reviewed with the licensee Lakshmi Chinta.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/06/2024 04:13 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 02/06/2024 at 03:33 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHINTA, LAKSHMI
FACILITY NUMBER: 013422924

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in mandated reporter training has not be completed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2024
Plan of Correction
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Licensee is to complete mandated reporter training general and child care provider training on www.mandatedreporterca.com and email certificate to LPA by email by POC date.
jaleesa.jackson@dss.ca.gov
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interviews and record review, the licensee did not comply with the section cited above in having expired EMSA approved Pediatric CPR and First Aid training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2024
Plan of Correction
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Licensee will enroll in an EMSA approved Pediatric CPR and First Aid training and email proof of enrollment to LPA by POC date. Licensee is not to enroll children until CPR training is complete due to the potential health and safety risk to children in care.
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:Jason Jang
LICENSING EVALUATOR NAME:Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2024


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