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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010214353
Report Date: 01/08/2025
Date Signed: 01/08/2025 12:59:25 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/01/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20241001085442
FACILITY NAME:SINGH, ASHAFACILITY NUMBER:
010214353
ADMINISTRATOR:SINGH, ASHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 438-9868
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:14CENSUS: 6DATE:
01/08/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Asha SinghTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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- Daycare child sustained an unexplained fracture while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melanie Otsuji met with Licensee, Asha Singh, to deliver the findings of a complaint investigation regarding the above allegation. The investigation was conducted by Special Investigator, Eddie Phung of the Bureau of Investigations. Present during the inspection was the Licensee and 6 children (4 preschoolers and 2 infants) in care.

During the investigation, interviews and record reviews were conducted. Based on statements made and records received, a child in care sustained an unexplained injury while in care.

Based on the interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter Number), are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
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 52-CC-20241001085442
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SINGH, ASHA
FACILITY NUMBER: 010214353
VISIT DATE: 01/08/2025
NARRATIVE
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Based on the information received, a TYPE A deficiency is being cited on today's date, 1/8/2025 (see attached LIC9099D).

LPA Otsuji informed Licensee, Asha Singh, that this report dated 1/8/2025 document(s) one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Otsuji informed the facility representative to provide a copy of this licensing report dated 1/8/2025 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.

An exit interview was conducted where the citation and plan of correction were discussed. Appeal rights were given and explained to the Licensee, Asha Singh.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20241001085442
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SINGH, ASHA
FACILITY NUMBER: 010214353
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/09/2025
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times.
-This requirement is not met as evidenced by interviews and records review as the licensee failed to ensure
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By 1/9/2025, Licensee is to draft a plan to ensure that children are supervised at all times. Plan to be emailed to LPA no later than 1/9/2025.
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visual supervision at all times which resulted in an unexplained injury to a child in care. This poses an immediate risk to the health and safety of children 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: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3