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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700386
Report Date: 05/29/2024
Date Signed: 01/07/2025 12:02:46 PM

Document Has Been Signed on 01/07/2025 12:02 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PATEL, VIMUFACILITY NUMBER:
435700386
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
05/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Licensee Vimu PatelTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 5/29/2024 at 2 pm, Licensing Program Analyst (LPA) Manel Estoesta conducted an announced Case Management Visit that the Licensee Initiated. LPA met with the Licensee Vimu Patel and explained the nature of site visit Present on this visit were 2 napping infants, 3 napping preschool children and 1 school age child (Licensee's daughter.). The home operates from Monday to Friday 8:30 am to 6:30 pm.

Licensee requested her home's front yard to be an On Limit Outdoor Designated Play Area. LPA observed a fully fenced front yard. The fence is made out wood, about 3 feet high and painted with white paint. LPA advised the Licensee that an outdoor play shall be supervised by the licensee.

The On-Limit Areas are the Family Room (Day Care Room), Living Room, Kitchen, hallway bathroom, the front yard and the Napping Room, adjacent to the Master Bedroom and Office Room. In addition, the fully fenced front yard will be a designated play area. The Living Room is the designated Isolation Area when a child gets sick.

Exit interview conducted and report was reviewed with the Licensee Vimu Patel.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
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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