015700166-5-27-2021-52-CC-MOTI-C3EUGF-20210527153415

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700166
Report Date: 05/27/2021
Date Signed: 05/27/2021 03:34:25 PM

Document Has Been Signed on 05/27/2021 03:34 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:	SINGAMSETTI, SNEHA		FACILITY NUMBER:	015700166
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 4	DATE:	05/27/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	03:01 PM
MET WITH:	Sneha Singamsetti		TIME COMPLETED:	03:35 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 05/27/2021 at 3:01pm, Licensing Program Analyst (LPA) Melanie Otsuji met with licensee Sneha Singamsetti to conduct a case management inspection-licensee initiated, to determine if the facility is ready for an increase in capacity. Due to the COVID-19 pandemic, the inspection was conducted virtually via the platform ZOOM. Also present during today's visit were four preschool aged children. The home was virtually toured with the licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday, 8:00am to 5:30pm.

The facility is a single story home with a main living quarters which contains 4 bedrooms, 2 bathrooms, kitchen, garage, living room, and day care room. The home is neat and clean with heating and ventilation for safety and comfort.

ON LIMIT AREAS: Day care room, Living Room, kitchen, bathroom off of hallway, daycare bed room, daycare office and fenced backyard.

OFF LIMIT AREAS: Master bedroom/bathroom and Resident bedroom, and the garage. The off-limit area will be inaccessible by closed and/or locked doors.

Licensee confirmed and LPA observed that there were no bodies of water on the premises. Facility had ample toys and learning equipment. The home has a fully charged 2A10BC fire extinguisher, working smoke and carbon monoxide detectors (tested and functioning), and a working telephone. The Licensee's Health and Safety training is completed. The Licensee completed and received a certificate in mandated reporter training and is compliant with required immunizations.

***Continued on LIC 809C...

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SINGAMSETTI, SNEHA	FACILITY NUMBER: 015700166
	VISIT DATE: 05/27/2021

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
26
27
28
29
30
31
32

Children's and staff files were reviewed during last inspection on 4/2/2021. Updated children's roster was reviewed and a copy obtained. The licensee is in ratio today.

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.

On 5/18/2021, a fire clearance was granted to this facility by the Fremont Fire Department. All documents have been received for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

As of 5/27/2021, this home is recommended for an increase of capacity with a provisional license which will expire on 9/22/2022. The provisional license and issued waiver will be mailed to licensee within two weeks, and both documents must be posted for public review in the facility.

There are no deficiencies cited today. Exit interview conducted with Sneha Singamsetti. This report shall remain on file for 3 years.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2