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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075700245
Report Date: 01/27/2023
Date Signed: 01/27/2023 01:36:28 PM

Document Has Been Signed on 01/27/2023 01:36 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GUPTA, ADITIFACILITY NUMBER:
075700245
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/27/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Aditi GuptaTIME COMPLETED:
01:45 PM
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On January 27, 2023 at 1:05pm, Licensing Program Analyst (LPA) Julia Placencia arrived for an announced Prelicensing Inspection. LPA met with applicant Aditi Gupta.

During initial prelicensing inspection on 11/29/22, applicant was advised to make a few corrections to ensure the health and safety of the children in care. LPA observed the following corrections today:
  • Applicant has installed a child proof gate at the bottom of stairs in day care room.
  • Applicant has installed barriers around the sprinkler system, rose bushes, including air conditioner unit, and around the left side fence and vegetable garden.

Applicant is recommended for licensure of a small family child care home as of today's date, 1/27/23.

Exit interview conducted with applicant Aditi Gupta and copy of report provided.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023
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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