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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817444
Report Date: 12/13/2024
Date Signed: 12/13/2024 04:11:36 PM

Document Has Been Signed on 12/13/2024 04:11 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BAKSHI FAMILY CHILD CAREFACILITY NUMBER:
364817444
ADMINISTRATOR/
DIRECTOR:		NARESH BAKSHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 731-0350
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
12/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Naresh Bakshi, LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 12/13/2024 at 3:30 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a Case Management inspection. The Case Management inspection was conducted in response to the receipt of an Unusual Incident Report (UIR) from Licensee Naresh Bakshi on 12/09/2024. It was reported that the incident took place on 12/05/2024. Further details are as follows.

On 12/06/2024, The Riverside Regional Childcare Office (RRO) received a telephone call from Licensee Naresh Bakshi, reporting an unusual incident. The licensee stated that on 12/05/2024, a child became partially unconscious while playing with a bicycle underneath the play structure. Licensee Naresh Bakshi stated that the child’s neck was stuck between the play structure and the bicycle handle. Licensee Naresh Bakshi stated that he contacted 911 immediately. It was stated that a staff member at the facility administered CPR on the child. The child was transported to a nearby hospital. Licensee Naresh Bakshi submitted a licensing form (LIC 624) Unusual Incident Report to the Department on 12/09/2024. The child has since been released from the hospital.

During today's visit, LPA made observations, obtained pertinent documentation, discussed details with licensee, took a tour of the facility, and took a census of all children present.

LPA informed Licensee that due to the severe nature of the reported incident, IB investigator Philippe Ryan Miles will arrive at the facility on a later date, in order to conduct a follow up visit.

LPA conducted an exit interview with Licensee Naresh Bakshi, and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2024
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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