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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817444
Report Date: 03/24/2025
Date Signed: 05/29/2025 02:56:35 PM

Document Has Been Signed on 05/29/2025 02:56 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BAKSHI FAMILY CHILD CAREFACILITY NUMBER:
364817444
ADMINISTRATOR/
DIRECTOR:		NARESH BAKSHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 731-0350
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 8DATE:
03/24/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Licensee Naresh BakshiTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
NARRATIVE
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On 03/24/2025, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to deliver the findings of the investigation regarding an Unusual Incident Report that was received by the Department on 12/09/2024. The reported incident took place on 12/05/2024. Findings are based on the Investigation Report of Community Care Licensing Investigations Branch (IB) Investigator Philippe Ryan Miles.

During the course of the investigation, Investigator Philippe Ryan Miles conducted interviews, obtained information/documentation, and concluded the following:

On 12/05/2024, the day of the incident, Licensee Naresh Bakshi was supervising five children on the opposite side of the outside playground. Bakshi observed that C1 was not making their rounds while riding the bicycle on the playground. Licensee Bakshi thought C1 was hiding in the playhouse, so he checked the playhouse and C1 was not there. Licensee Bakshi walked around the playground and observed C1 “stuck” underneath the playground with their head wedged between the handlebars of the bike and the bottom of the playground. 911 was called and C1 was transported to the nearby Hospital. According to the Hospital’s Medical Records, C1 was treated for trauma to the neck. Based on how Licensee Bakshi found C1 and how C1’s injury occurred, which caused C1 to be asphyxiated between the playground apparatus and the bike causing neck trauma, there is sufficient evidence to support that there was an inadequate level of care and supervision; therefore, the finding is substantiated.

Based on observations and interviews which were conducted, and a review of additional pertinent information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

NAME OF LICENSING PROGRAM MANAGER: Aaron Ross
NAME OF LICENSING PROGRAM ANALYST: Raymond Moorehead
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BAKSHI FAMILY CHILD CARE
FACILITY NUMBER: 364817444
VISIT DATE: 03/24/2025
NARRATIVE
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Title 22 Regulation (102417) (a) (Operation of a Family Child Care Home) states that the licensee shall be present in the home and shall ensure that children in care are supervised at all times. The Licensee failed to meet this regulation.

An immediate Civil Penalty of $500.00 for Absence of Supervision has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

See LIC9099-D for cited deficiency.

LPA informed licensee Licensee Naresh Bakshi that this report dated 03/24/2025 documents 1 Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Also, LPA informed the Licensee Naresh Bakshi to provide a copy of this licensing report dated 03/24/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Licensee Naresh Bakshi.

NAME OF LICENSING PROGRAM MANAGER: Aaron Ross
NAME OF LICENSING PROGRAM ANALYST: Raymond Moorehead
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/29/2025 02:56 PM - It Cannot Be Edited


Created By: Raymond Moorehead On 03/24/2025 at 12:45 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BAKSHI FAMILY CHILD CARE
FACILITY NUMBER: 364817444

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2025
Section Cited
CCR
102417(a)

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Title 22 Regulation - 102417(a) (Operation of a Family Child Care Home) states that the licensee shall be present in the home and shall ensure that children in care are supervised at all times.
This requirement was not met as evidence by:
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Licensee agrees to implement a new policy on supervision practices. Licensee agrees to submit the new policy/practice along with a letter stating how the new policy implemented will ensure that all children are supervised inside and out the the facility, at all times.
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Per IB findings: Based on how Licensee Bakshi found C1 and how C1’s injury occurred, there is sufficient evidence to support that there was an inadequate level of care and supervision; therefore, the finding is substantiated.
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Licensee agrees to submit proof of Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 03/25/2025.

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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.
Aaron Ross
NAME OF LICENSING PROGRAM MANAGER:
Raymond Moorehead
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2025


LIC809 (FAS) - (06/04)
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