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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414003037
Report Date: 09/19/2023
Date Signed: 09/19/2023 12:57:13 PM

Document Has Been Signed on 09/19/2023 12:57 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:VENKATESH, PRANITAFACILITY NUMBER:
414003037
ADMINISTRATOR:VENKATESH, PRANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 394-4706
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
09/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:58 AM
MET WITH:Pranita VenkateshTIME COMPLETED:
09:59 AM
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On September 19, 2023, at approximately 9.30am, Licensing Program Analyst (LPA) Tso and LPA Olguin-Leon conducted an unannounced, annual inspection. LPAs met with licensee, Pranita Venkatesh, and explained the purpose of the inspection. Present during LPAs’ visit included licensee and licensee's helper.

Children present during LPAs’ visit included 10 children (preschool age). Licensee is operating within capacity limits and ratio during LPAs visit.

Licensee lives in the multi-level home with their spouse and 2 minor children. All adults living in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 9:00am to 2:00pm. Daycare areas are: three lower-level bedrooms, downstairs bathroom, and back yard. Off Limit areas are: The entire upper level of home. Off limit areas are properly barricaded with child safety gates and/or closed doors. There is stair in the backyard to the pool that were observed to have 2 child safety gates at 5 feet high and inaccessible to children.

LPAs toured day care areas of home with licensee. LPAs observed home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good working condition. Cleaning supplies, poisons, and solutions are made inaccessible in home's shelves locked. LPAs observed electrical outlets are preventing child to access to the outlet holes. Home is equipped with a fully charged fire extinguisher and a dual working smoke/carbon monoxide detector. The dual working smoke/carbon monoxide detector was tested by the licensee in good working condition. All emergency supplies are kept in a secure location. Medications are appropriately labeled and kept out of the reach of children. First aid products are fully stocked and ready for use by children.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2023
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: VENKATESH, PRANITA
FACILITY NUMBER: 414003037
VISIT DATE: 09/19/2023
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Bathroom for children's use was observed to be in proper working condition. LPAs reminded the licensee to secure the cabinet. LPAs did not observe any hazardous materials to be accessible to children. Entire backyard is fully enclosed and fenced. Outdoor area is equipped with a variety of toys and materials. The outdoor play structures and toys are observed in good shape. The outdoor has a shaded area for children. All play structures have comfortable padding beneath them to absorb any accidental falls.

LPAs reviewed five children’s records. Children’s files have a record of emergency identification information on file. Licensee's Pediatric First Aid/CPR is current and will expire 08/2025. Emergency drills are properly logged and maintained. Last emergency drill was conducted 06/23/2023. Licensee has licensing documentation properly posted and available for review. Per licensee, there are no weapons or firearms in the home.

LPAs reminded licensee about Mandated Reporter training available www.mandatedreporterca.com. Licensee was reminded Mandated Reporter training must be renewed every 2 years and all staff whom directly work with children must complete training.

Licensee was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.622.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: VENKATESH, PRANITA
FACILITY NUMBER: 414003037
VISIT DATE: 09/19/2023
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LPAs 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-andresources/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.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Pranita Venkatesh, confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

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

No deficiency is issued today.

Exit interview conducted and report was reviewed with the licensee, Pranita Venkatesh.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023
LIC809 (FAS) - (06/04)
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