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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621975
Report Date: 08/01/2022
Date Signed: 08/01/2022 03:58:41 PM


Document Has Been Signed on 08/01/2022 03:58 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:CHANDRA, SHAREENFACILITY NUMBER:
343621975
ADMINISTRATOR:CHANDRA, SHAREENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 434-4474
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 8DATE:
08/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Shareen ChandraTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Gagandeep Singh met with the licensee, Shareen Chandra, for a case management inspection related to an incident. Licensee self reported that a child in day care accused that the child was hit by an adult at day care. After getting the report from the licensee, LPA contacted both of the parents of the victim child.

During today's inspection, LPA inspected the home, inspected location of incident, interviewed the licensee and the accused adult in the home. According to the child, the child was hit with bare hand and the child reported the incident to the parent four days after the incident. During the interviews with the licensee and the adult at day care, it was informed to LPA that the adult did not hit any child. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies were cited today. Copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Natalie DunawayTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2022
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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