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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313424
Report Date: 05/14/2024
Date Signed: 06/14/2024 10:36:19 AM


Document Has Been Signed on 06/14/2024 10:36 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:CHAUDHARY, SHWETAFACILITY NUMBER:
304313424
ADMINISTRATOR:CHAUDHARY, SHWETAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 373-6781
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:14CENSUS: DATE:
05/14/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Shweta ChaudharyTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPAs) Cynthia Sun and Licensing Program Manager (LPM), Thuy Ho conducted an unannounced Case Management Inspection on today’s date with Shweta Chaudhary. At 9:00 am upon arrival, LPAs were greeted by Shweta Chaudhary. During visit there were no children and home was not set-up to provide childcare services. Mrs. Chaudhary stated she is not providing services and is not planning on providing services.

The purpose of today's case management inspection is to verify day care operations have ceased per Revocation of the License Decision and Order adopted on 4/18/24 and effective date on 4/29/24.

LPA did not observe any children during today’s inspection.

The exit interview was concluded with Shweta Chaudhary. Facility will be closed.

End of Report

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Cynthia SunTELEPHONE: 714-703-3599
LICENSING EVALUATOR SIGNATURE:
DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/14/2024
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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