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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000538
Report Date: 09/23/2019
Date Signed: 09/23/2019 03:27:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:JOBTRAIN, INC CHILD DEV CTRFACILITY NUMBER:
414000538
ADMINISTRATOR:ALCAZAR-LOPEZ,DIANAFACILITY TYPE:
850
ADDRESS:1200 O'BRIEN DRIVETELEPHONE:
(650) 330-6416
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:24CENSUS: 20DATE:
09/23/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Site Supervisor, Diana Alcazar-LopezTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA), Cindy Interiano met with Site Supervisor, Diana Alcazar-Lopez, for a case management inspection. Present in the facility is Site Supervisor and 5 staff supervising 20 napping children.
During the inspection, Site Supervisor and LPA discussed a situation in the classroom in which a Guardian expressed anxiety and concern over their child’s safety. Guardian was reassured by Site Supervisor and Staff that child is safe at the center and is properly supervised. Site Supervisor states she and the Staff are continuing to support Guardian and Child with their needs.
LPA and Site Supervisor discussed Reporting requirements.
LPA inspected the classroom and observed no Health and Safety risks during inspection.

***No deficiencies cited against the facility under CCR,Title 22, Div. 12, Chapt. 1.***

This report will be kept in the Facility File and will be made available for Public Review upon request. Website for Forms and Regulations: www.ccld.ca.gov. This report and rights to comment and appeal have been discussed with Site Supervisor. Notice of Site Visit was observed being posted.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019
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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