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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430701148
Report Date: 03/10/2025
Date Signed: 03/10/2025 10:53:58 AM

Document Has Been Signed on 03/10/2025 10:53 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SOUTH PENINSULA HEBREW DAY SCHOOLFACILITY NUMBER:
430701148
ADMINISTRATOR/
DIRECTOR:
HANG DANGFACILITY TYPE:
850
ADDRESS:1030 ASTORIA DRTELEPHONE:
(408) 738-3060
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 135TOTAL ENROLLED CHILDREN: 73CENSUS: 69DATE:
03/10/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:01 AM
MET WITH:Lily SchwartzmanTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
NARRATIVE
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Licensing Program Analyst(LPA), Mandeep Kaur conducted an unannounced case management-other. LPA met with Director, Lily Schwartzman and explained the purpose of the inspection: to review New Site Director-Required Documentation.

LPA reviewed Director's file for Director's Qualification. New Director Required Documentation checklist is discussed and provided to Director.

No Deficiency is issued during today's inspection.

The following items to be submitted to Licensing by March 24, 2025 for Director to fulfill the New Site Director Required documentation requirements:

1) Health Screening w/ TB Test (LIC 503) not more than one year prior to or seven days after employment.
2)) Verification of teaching experience from prior Employers on a letterhead and signed Letter should indicate dates of employment, number of hours worked per day (at least 3 hours per day for a minimum of 100 days)
3) Proof of 8 hours of Preventive Health & Safety Training, with 1-hour Nutrition AB 290 (Effective 1/1/2016) and Lead training (AB 2370) for licensed facility (on or after 7/1/2020) and new application.
4) Proof of COMPLETION of the Operations/ Record Keeping orientation.

Exit interview conducted and report was reviewed with Director, Lily Schwartzman.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
Belinda DevallTELEPHONE: (408) 598-5501
Mandeep KaurTELEPHONE: 408-334-8320
DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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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