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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421872
Report Date: 02/23/2022
Date Signed: 02/23/2022 03:06:30 PM

Document Has Been Signed on 02/23/2022 03:06 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:RAMAKRISHNAN, SOWMYAFACILITY NUMBER:
013421872
ADMINISTRATOR:RAMAKRISHNAN, SOWMYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 699-4724
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
02/23/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Sowmya RamakrishnanTIME COMPLETED:
03:20 PM
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Licensing Program Analysts (LPA) Lorraine Dacanay met with Licensee Sowmya Ramakrishnan for an unannounced 1 Year Required Annual Inspection. During today's inspection there were two additional fingerprint cleared staff and 13 children in care. Home was tour for Health and Safety Inspection. Licensee states that the hours of operation will be Monday – Friday 08:15 AM to 6:00PM.

The home is a single story home with 3 bedrooms and three bathrooms. The home consists of a family room/ day care room, living room, kitchen, dining room, three bedroom and three bathrooms, garage, and backyard.

On Limit Areas: The family room/day-care room, the bathroom located near the front door to the right, kitchen, dining room and the backyard. Off Limit Areas: Master bedroom and bathroom and bedrooms on the left side of the home, and garage. Off Limit area will be made inaccessible by use of gates, closed doors and visual supervision. Isolation area will be living room away from the children in care.

The OUTDOOR PLAY area is the fully fenced backyard, there are ample age appropriate toys in the rear yard for play. LPA observed that this area is free from defects or dangerous conditions. During today's inspection, there are no play structures which are required to be anchored. There are no pools, hot tubs or any bodies of water.

Required postings were all present. Postings included:
License
Emergency Disaster Plan
Earthquake checklist
Notification of Parents Rights
Seat belt safety laws
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RAMAKRISHNAN, SOWMYA
FACILITY NUMBER: 013421872
VISIT DATE: 02/23/2022
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LPA requested and reviewed the files of children in care. All files contained Immunization, Parent's Rights, and Medical Consent forms. The facility roster was reviewed, and copies were obtain. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 02/03/2022. The licensee's Health and Safety training is completed, and CPR and First Aid certificate is current and expires 08/21/2023. The licensee has completed mandated reporter training and the certificate expires 12/23. The licensee is in ratio today. All required forms are posted and visible for public review.

The home has a fully charged 3A40BC fire extinguisher mounted in the kitchen. The home has working smoke detector /carbon monoxide detector. The home has a fireplace in the dining room with a glass screen making it completely inaccessible to children.

Per licensee, there are no firearms in the home. LPA reminded the licensee that CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: RAMAKRISHNAN, SOWMYA
FACILITY NUMBER: 013421872
VISIT DATE: 02/23/2022
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LPA 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-and-resources/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.

The licensee is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.



Licensee [or facility representative] was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email [email protected] to be included in the Child Care Quarterly Updates distribution list. Licensee has current CPR/First Aid which expires 08/21/2023.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to [email protected]. 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.

There are no deficiencies cited. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Sowmya Ramakrishnan

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC809 (FAS) - (06/04)
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