013420281-3-9-2023-52-CC-WNOA-CPVS74-20230313133653

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013420281
Report Date: 03/09/2023
Date Signed: 03/09/2023 01:57:00 PM

Unsubstantiated

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
01/05/2023 and conducted by Evaluator Melanie Otsuji

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20230105090559

FACILITY NAME:	VARSHNEY, MINAKSHI		FACILITY NUMBER:	013420281
ADMINISTRATOR:	VARSHNEY, MINAKSHI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 573-0809
CITY:	FREMONT	STATE: CA	ZIP CODE:	94539
CAPACITY:	14	CENSUS: 7	DATE:	03/09/2023
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Minakshi Varshney		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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- Provider does not reside in the family day care home.
- Provider is not providing adequate food to children in care.
- Provider did not ensure that day care child's diaper was changed in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conclude investigation into the above allegations. LPA was met by Licensee, Minakshi Varshney. Also present today was 1 additional staff member and 7 children (2 infants and 5 preschool aged children).

Based on interviews conducted although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.
A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.

An exit interview was conducted with Licensee, Minakshi Varshney.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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