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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404324
Report Date: 10/01/2024
Date Signed: 10/01/2024 01:39:46 PM

Document Has Been Signed on 10/01/2024 01:39 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:DOSHI, PARULFACILITY NUMBER:
073404324
ADMINISTRATOR/
DIRECTOR:		DOSHI, PARULFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 837-2859
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
10/01/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Parul DoshiTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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On October 1, 2024 at 1:05pm, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced for a plan of correction (POC) inspection to confirm the facility is within its ratio/capacity limits. LPA met with licensee Parul Doshi. Present were ten children and two helpers (Tina Nihalchand and Rema Vadamala).

During case management inspection conducted on 09/24/2024, facility was observed to have 12 children, 5 of which were infants. LPA observed today there are 10 children, 4 of which are infants. Facility is within its ratio/capacity limits today. LPA observed signed Acknowledgement of Receipt of Licensing Reports forms (LIC 9224) for each child enrolled.

Section 102416.5(d)(1) Staffing Ratio and Capacity cited on 09/24/2024 is cleared today. Copy of Letter of Deficiency Citations Cleared provided at visit.

Exit interview conducted with licensee Parul Doshi. Notice of site visit was provided during visit and must remain posted for 30 days.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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