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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422060
Report Date: 04/27/2023
Date Signed: 04/27/2023 01:08:41 PM


Document Has Been Signed on 04/27/2023 01:08 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:PRIMROSE SCHOOL OF LIVERMOREFACILITY NUMBER:
013422060
ADMINISTRATOR:GUPTA, SHUBRAFACILITY TYPE:
850
ADDRESS:2901 LAS POSITAS RDTELEPHONE:
(925) 215-7372
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:110CENSUS: DATE:
04/27/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:21 AM
MET WITH:TIME COMPLETED:
11:22 AM
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On April 27, 2023, Licensing Program Analysts (LPAs) Simerjit Kaur, Morgan Pringle and Licensing Program Manager (LPM) Jason Jang, Regional Manager (RM) Anika Evans met with Director Shubra Gupta and Owner Pyuish Jalan, Neha Jalan, Assistant Director Tanisha Fairley for an informal meeting held at the Oakland South East Regional Office (RO). The purpose of this meeting was to address the compliance issues.

On 4/14/2023 LPAs Kaur and Pringle conducted a complaint visit. During the course of the investigation there were discrepancies discovered involving the rooms licensed and on file as opposed to what is being utilized at the facility.

LPM Jang and RM Evans addressed owners, director and assistant director about regulations for license, compliance issues, capacity and ratio. LPM and facility representatives worked on a plan of action to be in compliance.

Exit interview was conducted with facility representatives and a copy of the report was provided.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Simerjit KaurTELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023
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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