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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420281
Report Date: 01/19/2023
Date Signed: 01/19/2023 01:15:41 PM

Document Has Been Signed on 01/19/2023 01:15 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:VARSHNEY, MINAKSHIFACILITY NUMBER:
013420281
ADMINISTRATOR:VARSHNEY, MINAKSHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 573-0809
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
01/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Minakshi VarshneyTIME COMPLETED:
01:20 PM
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
On today's date, 1/19/2023 at 12:15PM Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct a Plan of Correction (POC) visit. Present during today's visit was the Licensee, Minakshi Varshney, two fingerprint cleared assistants and 11 children (7 preschoolers, 4 infants).

The following corrections have been made:

1) 102416(d)(2) Licensee is now within the appropriate ratio.
2) 10246.5(a) Licensee has reduced capacity to be within conditions shown on License.
3) 102370(d)(1) T1 & T2 now have a criminal record clearance.

There are no deficiencies cited today. Copy of Cleared POC's letters provided.

An exit interview was conducted. This report must be available for review for 3 years. A notice of site visit was posted. Notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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 1