<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410399
Report Date: 03/14/2024
Date Signed: 03/29/2024 01:49:56 PM

Document Has Been Signed on 03/29/2024 01:49 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KRAJA, ALJBANAFACILITY NUMBER:
434410399
ADMINISTRATOR:KRAJA, ALJBANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 379-9401
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/14/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Aljbana and Xhevdet Kraja, KrajaTIME COMPLETED:
11:28 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
APA(Assistant Program Administrator) Carol Marcroft, LPM's( Licensing Program Managers) Susy Cervantes and Joel Segura and LPA(Anna Morales) met with Licensee Aljbana and her husband, Xhevdet Kraja, for an in office meeting and their request. Meeting is regarding the use of the converted garage for day care.

During today's meeting, we discussed of the denied fire clearance that was that was received on February 28,2024, as well as the past citations for use of the converted garage from 2014 and 2017.

Licensee agreed move back to the main house for day care until the permits for the converted garage and an approved fire clearance is received. Licensee will submit a new facility sketch including the main house, the garage and the sheds.

Also discussed, were concerns by the licensee regarding recent complaints investigated by the departments.

A Type A deficiency was issued at today's meeting for Case Management report dated March 5, 2024 for the use of the un-permitted garage. The following type A was cited on the attached page (809-D). Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

Licensee, Aljbana Kraja was informed that this report dated March 14,2024 document, One(1)Type A citation which shall be posted for 30 consecutive days as there is immediate risk, to the health, safety, or personal rights of children in care.

Licensee Aljbana Kraja was informed to provide a copy of this licensing report dated 03/14/2024 that documents any Type A citation(s) 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 03/29/2024 01:49 PM - It Cannot Be Edited


Created By: Anna Morales On 03/14/2024 at 10:59 AM
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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KRAJA, ALJBANA
FACILITY NUMBER: 434410399

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/15/2024
Section Cited
CCR
102371

1
2
3
4
5
6
7
(a) A fire safety clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal shall be required for a large family child care home.
1
2
3
4
5
6
7
Licensee will provide an updated facility sketch. Has stated operations will occur in their primary residence.
8
9
10
11
12
13
14
This requirement is not met as evidenced: Based on ovbservation made by LPA's Yip and Kaur, the converted unpermited garage was being used for child care purposes.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Gladys Kuizon
LICENSING EVALUATOR NAME:Anna Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2