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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622578
Report Date: 06/21/2024
Date Signed: 06/21/2024 03:14:07 PM

Document Has Been Signed on 06/21/2024 03:14 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SINGH, SUSHILA & TANIYAFACILITY NUMBER:
343622578
ADMINISTRATOR/
DIRECTOR:		SINGH, SUSHILA & TANIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 305-2483
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 12DATE:
06/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:55 PM
MET WITH:Taniya SinghTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On 06/21/2024, Licensing Program Analyst (LPA) Corina Beckby met with the Licensee, Taniya Singh for the purpose of a case management inspection that was initiated by the Licensee. During today's inspection, Licensees were caring for 12 preschoolers including 4 infants.

Today's inspection was requested by Licensee to change bedroom #2 from “off limit” to “on limit”. LPA toured the bedroom across from the front door with Co-Licensee. Licensee has locks on the closet doors and 2 pack and plays. The room will be used to care for children under 2 ½ years old as needed. Licensee is responsible for ensuring child proof locks are in working order and will replace them if damaged or broken.

As of today, 06/21/2024, LPA Beckby has approved bedroom #2 to become an "on-limit” area. The off-limits areas are the garage, kitchen, master bedroom and bath, bedroom 3, laundry room, bathrooms in the hallway, side yards and front yard. LPA will change the license to reflect the change that was made.

Facility evaluation report was reviewed and discussed with Co-Licensee, Taniya Singh. Exit interview was conducted. A Notice of Site Visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. A copy of this report will remain on file for a period of three years for public review upon request. The licensee's signature on this form acknowledges receipt of this form.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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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