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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700036
Report Date: 04/21/2023
Date Signed: 04/21/2023 12:06:27 PM

Document Has Been Signed on 04/21/2023 12:06 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:KAUR, KAMALPREETFACILITY NUMBER:
015700036
ADMINISTRATOR:KAUR, KAMALPREETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 676-5744
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
04/21/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Kamalpreet KaurTIME COMPLETED:
12:15 PM
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On April 21, 2023 at 11:10am, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced for a plan of correction (POC) inspection to confirm facility is within its ratio/capacity limits. LPA met with licensee Kamalpreet Kaur. Present were nine children, and helper Komalpreet Kaur.

Upon arrival for the facility's Required-1 Year Inspection conducted on 4/19/2023, LPA observed there were 13 children (4 infants and 9 preschoolers) with only helper Komalpreet present, as the licensee was running an errand. Upon arrival today, LPA observed 9 children (4 infants and 5 preschoolers) with both licensee and helper.

Section 102416.5(e) Staffing Ratio and Capacity cited on 4/19/2023 is cleared today. Copy of Letter of Deficiency Citations Cleared provided at visit.

Exit interview conducted with licensee Kamalpreet Kaur and copy of report provided. A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2023
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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