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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700239
Report Date: 07/09/2021
Date Signed: 07/09/2021 02:23:45 PM

Document Has Been Signed on 07/09/2021 02:23 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:JONNALAGADDA, NAGAFACILITY NUMBER:
015700239
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/09/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:NAGA JONNALAGADDATIME COMPLETED:
02:55 PM
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On July 9, 2021 at approximately 1:36 PM LPA Dacanay- Breaux met with applicant Naga Jonnalagadda for Pre licensing (follow up). During today inspection is applicant fingerprint clear husband, and applicants two children. Applicant had to complete the following:

(This home is not recommended for Licensure on 06/17/2021, until the following items have been obtained/corrected:)

· Secure the outside climbing/slide play structure (not stable)

· A fully charged 2A10BC or higher fire extinguisher

· On ALL cabinets reachable to day care children install locks/latches in kitchen/bathroom for safety

· Remove any and all toxic/poisonous cleaning products reachable to day care children

· Install Gate in the hallway after the main bathroom

· Install Gate left side (facing the yard) of the house rear of the house leading to the shed to separate rear and right side of the yard (to distinguish the off-limit areas)

· Put pad lock on shed

· Replace slates on the fence

· Add pipe installation cushion around exposed water pipes connected to the house, remove debris near the play structure

· Recommendation: cot/mats for sleeping

During today's inspection all above items have been completed, in addition applicant completely removed the play structure.

LPA provided a copy of Safe Sleep-in child-care brochure, a handout "What Does A Safe Sleep Environment Look Like?" and a copy of the new California Car Seat Law Changes. The licensee was also provided information regarding effects of Lead Exposure and testing requirements (Assembly Bill 2370).



For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

This home is recommended for licensing on 07/09/2021. This report shall remain on file for 3 years. Exit interview conducted licensee.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2021
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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