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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314259
Report Date: 01/08/2024
Date Signed: 01/08/2024 10:47:22 AM

Document Has Been Signed on 01/08/2024 10:47 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:BHATT, ANNIEFACILITY NUMBER:
304314259
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/08/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Applicant Annie BhattTIME COMPLETED:
11:00 AM
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An office meeting was held with Applicant Annie Bhatt, LPA Romy Castanon and LPM Patricia Magana to discuss the Family Child Care Home application process and to assist the licensee in meeting the requirements of the California Code of Regulations, Title 22, Division 12.

LPM discussed: Application process, Webinars for DSS, Resource & Referral Agency, Technical Support Program and unannounced visits to ensure compliance with Title 22 Regulations.



On 08/25/2023 and 12/21/2023, applicant received two complaints for unlicensed care being conducted at the home. The complaints were discussed with the applicant and administrative action process, if applicant disregards Title 22 Regulations.

Printed Resources Provided:

California Code of Regulations: 102417 Operation of a Family Child Care Home

102416.5 Staffing Ratio and Capacity

102421 Child's Records

102423 Personal Rights

102425 Infant Safe Sleep

102419 Admission Procedures and Parental and Authorized Representative's Rights

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE: DATE: 01/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: BHATT, ANNIE
FACILITY NUMBER: 304314259
VISIT DATE: 01/08/2024
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Technical Support Program Brochure – Applicant accepted TSP assistance

Family Child Care Provider E-Learning Videos List – Applicant agreed to email LPA when list of videos have been viewed.

Active Supervision

The applicant stated the following: They have reviewed and completed the training required by Community Care Licensing to become licensed. Applicant stated by taking these initial steps, they hope this will assist them in becoming the best provider they can be.

LPM explained Officer of the Day will be available to applicant for any general questions Monday-Friday 8:00am-5:00pm by calling Regional Office. LPA will contact Applicant regarding appropriate rooms to be used during daycare hours. Licensee was reminded that any relative children in their care during their operating hours are acknowledged as daycare children.

Resources:

CCLD website www.ccld.ca.gov was provided to applicant to access regulations, updates, and licensing forms.



Family Child Care Provider E-Learning Videos - https://ccld.childcarevideos.org/family-child-care-providers/

The licensee was informed of the important updates available at www.ccld.ca.gov to receive Community Care Licensing Provider Information Notifications https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care Applicant was enrolled during todays meeting.

Exit interview conducted with Annie Bhatt who agrees with the above. A copy of this report was printed and emailed to applicant.



End of Report
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2024
LIC809 (FAS) - (06/04)
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