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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700408
Report Date: 02/09/2023
Date Signed: 02/09/2023 11:11:28 AM

Document Has Been Signed on 02/09/2023 11:11 AM - 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:TALUR MATH, SHEELAFACILITY NUMBER:
015700408
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
02/09/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:27 AM
MET WITH:Sheela Talur MathTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Otsuji arrived to the facility unannounced to conduct an Annual/Random inspection and to determine if the facility is ready for an increase in capacity. LPA was met by Licensee Sheela Talur Math. Present during today's visit was Licensee's fingerprint cleared spouse and 6 children (3 infants and 3 preschooler).

LPA conducted a health & safety inspection of the facility. The home is single story dwelling. The licensee has requested the OFF LIMIT AREAS BE: all bedrooms, upper deck and garage. The licensee has requested the following rooms be ON LIMITS - the hallway bathroom, the family room, the dining room, living room, kitchen and lower deck/grassy area of back yard. BACKYARD play area is completely fenced. There are no play structures present today which are requires anchoring. There are no pools, hot tubs or any other bodies of water on the premises during today's inspection. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The licensee’s Health and Safety training is completed and CPR and First Aid certificate is current and expires 6/11/2024. The licensee's mandated reporter training is complete and she received a certificate of completion on 9/22/2021. The licensee is in compliance with the immunization law which pertains to day care providers. Per licensee, there are no firearms in the home. A copy of the lease was reviewed and shows control of property.

The fire clearance for the increase in capacity was approved on 1/31/2023.

No deficiencies are being cited. This home is recommended for the capacity increase as of today's date. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. This report shall remain on file for 3 years. Exit interview conducted with licensee. Notice of Site Visit provided and must be posted for 30 days.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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