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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700319
Report Date: 01/30/2024
Date Signed: 01/30/2024 09:23:52 AM

Document Has Been Signed on 01/30/2024 09:23 AM - 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:SEKHON, IPNINDERAFACILITY NUMBER:
015700319
ADMINISTRATOR:SEKHON, IPNINDERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 861-4190
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
01/30/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:19 AM
MET WITH:Ipnindera SekohnTIME COMPLETED:
11:26 AM
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Licensing Program Analyst Sidney Cortez, conducted an Unannouced Annual Random Inspection. Present for this visit was the licensee Ipnindera Sekhon, fingerprinted employee Chand Sekhon, and 3 infants and 3 kindergarten age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:00AM until 6:00 PM, MONDAY-FRIDAY.


The home is 2 story. The home consists of 2 bedrooms, 2 bathroom, living room, kitchen, and backyard (patio).
The OFF LIMIT AREAS is the 1 bedrooms upstairs, backyard and the garage.
The ON LIMIT AREAS are the living room, dining room, kitchen, family room, bottom bathroom, and one bedroom
The ISOLATION AREA is the living room area near the entrance. There is no pool or any type of bodies of water in the home. Per licensee there is no fire-arm in the house. The home is neat and clean with heating and ventilation for safety and comfort.



All hazardous materials and toxins are kept out of the reach of children The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee Health and Safety training is completed and CPR and First Aid certificates are current and expires in MARCH 2024. The licensee's mandated reporter training is current and expires (FEB 2025). The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on OCT 2023. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2024
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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