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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623786
Report Date: 05/04/2022
Date Signed: 05/04/2022 12:33:44 PM

Document Has Been Signed on 05/04/2022 12:33 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:DAGHUPATI, SIRISHA SAILIFACILITY NUMBER:
343623786
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
05/04/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Sirisha DaghupatiTIME COMPLETED:
01:15 PM
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Licensing Program Analysts (LPAs) Kelly Ferrara and Tanya Washington met with Licensee Sirisha Daghupati to conduct a Change of Capacity inspection. The Licensee is requesting an increase from eight to 14 children. Today's census was six children in care with the Licensee and an assistant.

Off-limit areas include: Garage and entire upstairs. Licensee acknowledged that children may never enter the off-limit areas. LPA observed a fire extinguisher and functioning smoke alarm and carbon monoxide detector. LPA observed the required Licensing postings on the wall. LPA observed that hazardous items and chemicals were stored inaccessible to children in care. LPA did not observe any bodies of water on the premises and Licensee stated there were no firearms in the home. LPA observed the home was clean, safe, sanitary, and in good repair with appropriate toys for the children. In the areas that were evaluated during today's inspection, the facility is in compliance.

A Fire Safety Inspection Clearance was received from Folsom Fire Department and the home has been cleared for up to 14 children.

Applicant is now approved to operate as a Large Family Child Care Home as of today, May 4th, 2022. Facility is now licensed to serve a maximum capacity (when there is an assistant present) of 12 children with no more than four infants OR a capacity of 14 children no more than three Infants; one child must be in Transitional Kindergarten/Elementary School and one child must be at least six years old. If there is not an assistant present, the facility must revert to a Small Family Child Care Home license.

LPAs reviewed the report with the Licensee and a copy was provided. Notice of Site was posted and must remain for 30 days.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2022
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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