<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700352
Report Date: 02/08/2023
Date Signed: 02/08/2023 03:02:19 PM

Document Has Been Signed on 02/08/2023 03:02 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:KIDAMBI, URMILAFACILITY NUMBER:
435700352
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
02/08/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee's Spouse - Srinivasa KidambiTIME COMPLETED:
03:30 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 02/08/2023 at 2 pm, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Licensee Initiated Case Management Visit. Licensee applied for a Family Child Care Home (FCCH) License Capacity Increase and the Oakland South East Child Care Regional Office received the application on
12/21/2022. LPA met with the Licensee's spouse Srinivasa Kidambi and explained the nature of site visit. Present on this visit were a Licensee's Assistants Smita and Rohini, and 5 preschool children.

The home hours of operation from Monday to Friday 8:30 AM to 6 PM.

Milpitas Fire Department conducted a Fire Safety Inspection and granted the Fire Clearance on 01/27/2023 by Inspector J. Perez.
The licensee's assistant Rohini's CPR and First Aid taken on 01/17/2023. The licensee's assistant Rohini's CPR and First Aid taken 01/17/2023. Licensee's Assistants completed the Mandated Reporter Child Care Providers training online at https://mandatedreporterca.com/ in October 2022 and August 2021, respectively. The Licensee's Assistants have records of Measles and Pertussis immunization, Influenza vaccination and TB clearance. LPA reminded Licensee that only the Influenza vaccination can be decline with a written declination.
LPA discussed to the Licensee's Spouse about the New construction and major renovation of childcare programs.

There are no deficiencies cited on this visit. The home is recommended for a Large FCCH License as of today 02/08/2023.

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


Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with the Licensee's spouse, Srinivasa Kidambi.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2023
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 1