Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414621
Report Date: 02/22/2018
Date Signed 02/22/2018 10:48:09 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SONEJI, BIJALFACILITY NUMBER:
434414621
ADMINISTRATOR:SONEJI, BIJALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 474-0677
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:14CENSUS: 3DATE:
02/22/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Bijal SonejiTIME COMPLETED:
10:50 AM
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Licensing Program Analyst (LPA) Tuoc Doan conducted an unannounced Case Management visit today. LPA met with Licensee Bjial Soneji. The purpose of this visit was to amend the Facility Evaluation Report for an Annual Inspection visit conducted on 02/21/2018.

Licensee had telephone LPA to express her concern regarding the Off Limit areas listed on the Licensing Evaluation Report on 02/21/18. Per Licensee, the Kitchen area is not off limit to children but is listed as off limit on the report. Therefore, LPA had made the correction to the report during today's visit.

LPA observed three day care children present, of which one was infant age. The children were engaged in activities with the Licensee during LPA's visit.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2018
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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