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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700475
Report Date: 08/02/2023
Date Signed: 08/02/2023 08:03:11 AM

Document Has Been Signed on 08/02/2023 08:03 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SAHNI, SIMRAN & TANDON, SAMEERFACILITY NUMBER:
015700475
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/02/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
07:15 AM
MET WITH:Simran Sahni & Sameer TandonTIME COMPLETED:
08:10 AM
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On August 2, 2023, Licensing Program Analyst (LPA) Simerjit Kaur arrived for an announced Pre-licensing inspection and met with the applicants Simran Sahni and Sameer Tandon. Present during the inspection were applicant's 2 minor age children.

A previous inspection was conducted on 7/28/2023, the applicants were advised to make the following correction prior to licensing the home:
ยท The yard deck shall be securely barricaded.
The backyard was toured with the applicants to conduct a health and safety inspection. Applicants corrected the required corrections.
ON LIMIT AREAS (accessible to children in care):First floor: living room, dining room, half bathroom, day care room, kitchen, and backyard. The isolation area will be in the dining area located adjunct to day care room.
OFF LIMIT AREAS (not accessible to children in care): Second floor: 2 bedrooms, 2 bathrooms, office and garage. All off limit areas will be inaccessible by closed and/or locked doors and visual supervision. The applicants were reminded to contact Licensing Department, prior to changing an off-limits area to on-limits area. The applicants are also reminded that any structural changes to the home or additions to the child care facility must be reported to Department.

The home is recommended for license effective today 08/02/2023.

Exit interview conducted with Simran Sahni and Sameer Tandonand. The report was reviewed with the applicants and report shall remain in facility for 3 years.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2023
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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