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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700236
Report Date: 06/27/2024
Date Signed: 06/27/2024 02:13:17 PM

Document Has Been Signed on 06/27/2024 02:13 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:MEHRA, SUMEDHA & TARUNFACILITY NUMBER:
015700236
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/27/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Licensee, Mehra, Sumedha and TarunTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Manager (LPM) Wynn Norona and Licensing Program Analyst (LPA) Jyoti Saini used Microsoft Teams to conduct an informal meeting with Licensee Mehra, Sumedha, and Tarun in response to the following violations that occurred in the facility.

The facility was cited Type A on December 05, 2023, for having an uncleared fingerprint individual supervising five children. On December 05, 2023, another Type A was issued for leaving four children with two uncleared, fingerprinted individuals (house cleaners). On May 16, 2024, LPA observed that the helper supervising the children needed a complete immunization record, health history, CPR, first aid, and Mandated reporter training.

In today's meeting, LPM Norona discussed the seriousness of the violations. The licensee was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home who are 18 years of age or older must be fingerprint cleared and associated with this facility prior to being in the presence of children in the care. During the Informal meeting, both the licensees were advised that LPA will be making increased visits to your home to ensure your compliance with the regulations. If you repeat any of the violations that we discussed with you, the Department may take legal action against your license. It is our hope that you can mend the trust with the Department.

The large family childcare license will be issued upon submission of the personnel health screening form.

The report was reviewed with both licensees, and a copy was emailed to tarun0915@gmail.com. The licensee agrees to sign and return the report to the Community Care licensing decision by close of business day, June 27, 2024.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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