015700077-1-23-2023-52-CC-RHAR-CNCTGV-20230123134347

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700077
Report Date: 01/23/2023
Date Signed: 01/23/2023 01:44:00 PM

Document Has Been Signed on 01/23/2023 01:44 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CHEREDDY, KRANTHI		FACILITY NUMBER:	015700077
ADMINISTRATOR:	CHEREDDY, KRANTHI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 304-8072
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 11	CENSUS: 10	DATE:	01/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Kranthi Chereddy		TIME COMPLETED:	01:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On January 23, 2022 at approximately 11:30am Licensing Program Analyst (LPA) Russ Haderer met with licensee Kranthi Chereddy for the purpose of conducting an unannounced annual inspection for health and safety. Living in the home is the licensee, her TB test and fingerprint cleared husband and their daughter. Present today for the inspection is the licensee and her fingerprint and TB cleared assistant, licensee’s husband and 10 children in care (1 infant, 9 preschool children). The hours of operation are Monday-Friday, 9:00am to 5:00pm. The facility is a single-story home with 3 bedrooms and 2 bathrooms, a living room, eat-in kitchen area, kitchen, family room (day care area) with a screened fireplace, attached 2-car garage front, side and back yards. The backyard and patio areas are free from defects and dangerous conditions, and a grass area for the children to play. Toxins, medicines, and hazardous items were inaccessible during today's inspection. Per the licensee, the ISOLATION AREA will be in small hallway going to the bedroom area away from the other children in care. On-limit-areas include: The living room; family room (day care area); house bathroom at the end of the hall; patio and backyard area (main west side). Off-limit-areas include: The kitchen, eat-in portion of the kitchen, all three bedrooms (including the bathroom in the master bedroom), the attached 2-car garage, and side yards of the fenced off backyard. All off limit areas are inaccessible by closed and/or locked doors and visual supervision. There were ample age appropriate toys that were observed to be safe and in good condition. The home and the day care area and rooms are neat and clean, with heating and ventilation for safety and comfort. LPA did not observe any hazardous materials, or toxins accessible to children on the premises during the inspection.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHEREDDY, KRANTHI	FACILITY NUMBER: 015700077
	VISIT DATE: 01/23/2023

NARRATIVE

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There is a fence surrounding the backyard area that is in good condition. There is a disused fountain on the back patio that has no water. There is a drain hole that allows any rain water to empty out. Licensee confirmed this fountain will not be used and will ensure no water collects in the bowl.

There is a fully charged 2A10BC fire extinguisher located on the wall of the living room at the entrance of the kitchen. The facility has working (tested and functioning) smoke and carbon monoxide detectors. Per licensee, there are no firearms in the home. The licensee conducts and documents Fire/Disaster Drills at least twice a year, and the log indicates a drill was conducted 1-03-2023. All required licensing documents are posted and visible for public review.

Children's files were reviewed and found to be complete. A facility roster was reviewed, and a copy obtained. All files were complete and in good order. There is one part-time 18-month old child in care that leaves after lunch and does not nap at the facility. Therefore, there were no sleep logs for the child, licensee understands the requirement for sleep logs and they are not required in this situation.

Licensee did not have immunization records for helper see LIC809D for deficiency. The licensee’s and helper’s Pediatric CPR/First Aid certificate is current and both expire 10/16/2023. Mandated reporter training was completed (licensee on 8/1/2021, helper on 2/21/2022).

LPA reminded the licensee of the following: Mandated Reporter training is to be renewed every two years, CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

The licensee owns the property but does not carry liability insurance. Parents sign the form acknowledging there is no liability insurance.

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.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHEREDDY, KRANTHI	FACILITY NUMBER: 015700077
	VISIT DATE: 01/23/2023

NARRATIVE

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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

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.

There was one deficiencies issued today – Immunization records for assistant were not available at time of inspection. See LIC809D for deficiency.

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

Exit interview conducted and report was reviewed with the licensee Kranthi Chereddy.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/23/2023 01:44 PM - It Cannot Be Edited

Created By: Russell Haderer On 01/23/2023 at 01:26 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: CHEREDDY, KRANTHI	FACILITY NUMBER: 015700077
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/23/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in that licensee did not have immunization records available for assistant which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/03/2023
	Plan of Correction
1 2 3 4	Licensee to collect all immunization records: MMR-Measles; tdap-Pertusis; TB test and evidence of a flu shot or signed and dated declination for flu shot. Licensee to send copies as proof of compliance and maintain these records for all assistants going forward.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Chandra Charles

LICENSING EVALUATOR NAME:

Russell Haderer

LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023

LIC809 (FAS) - (06/04)

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