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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515405673
Report Date: 03/13/2020
Date Signed: 03/13/2020 10:38:01 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:PUREWAL, RAJVINDER FAMILY CHILD CARE HOMEFACILITY NUMBER:
515405673
ADMINISTRATOR:PUREWAL, RAJVINDERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 755-1122
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 10DATE:
03/13/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Rajvinder PurewalTIME COMPLETED:
10:45 AM
NARRATIVE
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Licensing Program Analysts (LPA) Martinez and Grisak conducted an unannounced visit and met with the Licensee Rajvinder Purewal. During today's visit interviews with the licensee were conducted and stated that the night prior she did not sleep in the home and was at the home she owns behind her property. LPA Martinez asked if she has stayed at the home behind her house previously and the licensee stated there have been occasions when she has stayed the night and gotten ready for her day at the other house. It should be noted during LPA's initial visit to the home on 2/4/20 LPA observed a chain link fence providing a barrier from the backyard of the home where day care is provided to the backyard of the home directly behind hers. The licensee stated she only went over there to get tea or on occasion to say hello to family members living in the home. During today's visit LPA Martinez and Grisak were provided a tour of the home where day care is provided. The home was currently under renovation in the kitchen area. LPA's observed upstairs that the rooms were empty with the exception of a few headboards and drawers. The bathrooms were empty and only one mattress was observed with only a fitted sheet on top. The licensee did state that because of the dust she had not gotten ready today in this home. LPA Martinez and Grisak discussed with the licensee that although the remodel is ongoing in her home the upstairs is still livable and she would need to live in the home where care is provided. It was also explained to the provider on 2/4/20 that she could not live in the house behind her home. During the 2/4/20 visit the licensee had rented her entire upstairs, kitchen, formal living room and a portion of the backyard to the individual. During that time the licensee allegedly lived in the living room where a wall had been put up separating the kitchen and living room. The living room she was using had access to the laundry room, and two daycare rooms that are converted garages. Due to the information observed and provided during interviews it was determined the licensee is not living in the home where care for children is being provided.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: PUREWAL, RAJVINDER FAMILY CHILD CARE HOME
FACILITY NUMBER: 515405673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/16/2020
Section Cited

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"Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations
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This requirement was not met as evidenced by; Based on observations and interviews it was determined the licensee is not living in the home where care is being provided to children. This is a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2020
LIC809 (FAS) - (06/04)
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