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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313624452
Report Date: 04/29/2024
Date Signed: 04/29/2024 10:34:34 AM

Document Has Been Signed on 04/29/2024 10:34 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MALLA, HEMANTIFACILITY NUMBER:
313624452
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
04/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Hemanti Malla- LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Owens met with applicant for the purpose of a capacity increase from 8 to 14. Present at time of inspection were licensee and 5 day care children.

The fire clearance was granted on 4/16/2024. The fire clearance stated the garage is NOT approved to be used as part of the day care, only for storage. This visit is to inspect the home to insure she is no longer using the garage for day care. LPA toured the home inside and out and observed that licensee has moved her day care inside her home, She states the off limit areas are the entire upstairs and the garage of the home; she is aware that day care children may never enter these off limit areas. LPA Owens gave and reviewed the maximum capacity worksheet with the licensee at time of inspection.

All inspected areas and information documented on 4/18/2024 Facility Evaluation Report (809) is still valid and correct.

Effective today 4/29/2024 applicant is a license to serve up to 14 children, (WHEN THERE IS AN ASSISTANT PRESENT), 12 children -No more than 4 infants. Capacity 14 - No more than 3 infants. 1 Child in Kindergarten or Elementary school and 1 child at least age 6.

Exit interview conducted and report was reviewed with the licensee, Hemanti Malla.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2024
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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