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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625061
Report Date: 11/04/2024
Date Signed: 11/04/2024 02:23:41 PM

Document Has Been Signed on 11/04/2024 02:23 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 CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:DODANWALA, ANJALAFACILITY NUMBER:
343625061
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
11/04/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Anjala DodanwalaTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On Monday, 4 November, 2024, at approximately 2:00pm, Licensing Program Analyst (LPA) Fabian Schwartz met with Licensee, Anjala Dodanwala, for the purpose of an unannounced Plan of Correction inspection. Upon arrival, LPA observed licensee and assistant supervising 5 children, 3 of which are infants. All individuals subject to criminal background review have obtained a criminal record clearance. LPA observed proper ratio and capacity was being followed.

On 31 October 2024, Licensee was cited for being out of Ratio on 24 October 2024. At that time, Licensee was providing care to 6 children, 4 of which being infants which is over capacity for a small Family Child Care Home License.

During Today's inspection, Licensee is in proper ratio. Licensee now has a large License which allows a total of 4 infants to be in care when an assistant is present.

Notice of Site visit was provided. Exit interview was conducted with Licensee.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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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