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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500790
Report Date: 08/23/2023
Date Signed: 08/23/2023 05:59:33 PM

Document Has Been Signed on 08/23/2023 05:59 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:KHOSA, PARAMJITFACILITY NUMBER:
394500790
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
08/23/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Paramjit KhosaTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Corina Beckby met with Licensee, Paramjit Khosa on 08/23/2023 for the purpose of an unannounced plan of correction inspection to clear all deficiencies, issued on 08/10/2023.

LPA observed Licensee caring for 5 preschool children including 1 infant during today's inspection. LPA toured the facility and found no deficiencies.



LPA observed 6 children's files. All files are complete and up to date.

LPA observed updated roster and fire drill log.

LPA observed 2 portable cribs for infants with fitted sheets. LPA observed sleeping mats for children over 2 years old.

LPA observed updated sleeping log for infants under 2 years old.

LPA observed parent board by front door with all required postings.

Licensee has disenrolled necessary number of children to be in ratio with a small license.

All deficiencies cited on 08/10/2023 are cleared effective today. Proof of correction letters were provided for the corrected deficiencies. LPA reviewed report with Licensee, Paramjit Khosa. Appeal Rights were provided. A notice of site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2023
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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