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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700489
Report Date: 06/06/2024
Date Signed: 06/06/2024 02:51:24 PM

Document Has Been Signed on 06/06/2024 02:51 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CHEMALA VENKATA, SINDHUFACILITY NUMBER:
015700489
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
06/06/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Licensee, Sindhu ChemalaTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
NARRATIVE
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 Licensing Program Analyst (LPA) Saini arrived for an unannounced case management visit to add a backyard to the on-limit area. Present in the home today was licensee Sindhu Chemala and four (4) children in care. The hours of operation are 8:00 a.m. to 6:00 p.m. The Licensee has recently updated the Backyard with new turf and concrete; however, the neighbour boundary fence is still pending. The Licensee mentioned that she will only be utilizing the area of the Backyard up to the turf. LPA advised barricading the area beyond the turf until the boundary fence is pending. The Licensee placed the child-proof gate during the visit.

As of today, 06/06/2024, the Backyard is recommended to be a part of the daycare.

LPA advised providing proper care and supervision while kids play in the Backyard.

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

Exit interview conducted and report was reviewed with the licensee, Sindhu Chemala Venkata
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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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