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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625061
Report Date: 10/31/2024
Date Signed: 10/31/2024 10:47:27 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/24/2024 and conducted by Evaluator Fabian Schwartz
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20241024154503
FACILITY NAME:DODANWALA, ANJALAFACILITY NUMBER:
343625061
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
10/31/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anjala DodanwalaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee is operating over ratio - Substantiated
INVESTIGATION FINDINGS:
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On Thursday 31 October, 2024, at approximately 10:00am Licensing Program Analyst (LPA) Fabian Schwartz and Licensing Program Manager (LPM) Amanda Blesi met with licensee Anjala Dodanwala to open and close a complaint investigation. At time of inspection, Licensee and assistant were supervising 4 preschool children, 2 of which were infants.

On 24 October 2024, Licensee received a visit from Beanstalk resource agency, and at that time, had a ratio of 6 preschool children, 4 of which were infants. This exceeds the Small Family Child Care Home Capacity for infants. During today's inspection, LPA and LPM interviewed licensee who stated they were out of ratio during Beanstalks visit, but had a child picked up before visit from LPA Schwartz on the same day. Based on evidence presented above, the preponderance of evidence standard has been met, and the allegations are substantiated.

.......Report continued on LIC9099-C........
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 03-CC-20241024154503
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: DODANWALA, ANJALA
FACILITY NUMBER: 343625061
VISIT DATE: 10/31/2024
NARRATIVE
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Title 22 deficiencies are cited on the subsequent pages of this report. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Licensee. LIC 9224 and Appeal Rights were provided. Licensee's signature on this report acknowledges receipt of these rights.

This report was reviewed with the Licensee and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20241024154503
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: DODANWALA, ANJALA
FACILITY NUMBER: 343625061
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/01/2024
Section Cited
CCR
102416.5
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102416.5 STAFFING RATIO AND CAPACITY
(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following:
(2) Six children, no more than three of whom may be infants; or

This requirement is not met as evidenced by:
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LPA will make return visit to verify proper ratio is being observed.
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Based on observation, interview, and record review the licensee did not comply with the section cited above by having four out of six children in care being infants on Thursday 24 October 2024 which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3