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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430706092
Report Date: 01/14/2025
Date Signed: 01/14/2025 10:55:09 AM

Document Has Been Signed on 01/14/2025 10:55 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:CHANDLER TRIPP HEAD STARTFACILITY NUMBER:
430706092
ADMINISTRATOR/
DIRECTOR:
TAFOYA, VICKIFACILITY TYPE:
850
ADDRESS:780 THORNTON WAYTELEPHONE:
(408) 573-4894
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 24DATE:
01/14/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Roopali Born TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Harsimran Kaur conducted an unannounced case management inspection in response to a request for change of capacity from 40 to 83 preschool children. LPA met with Roopali Born, Director and explained to her purpose of today’s inspection. The Preschool Program currently serves children ages 2 years - entry to first grade in preschool rooms 1, 2. The Facility received a fire safety inspection approval from the San Jose Fire Department for the change of capacity on 08/15/2024. The child care center will operate Monday–Friday 8:00 AM – 2:30 PM. LPA toured and measured the indoor and outdoor areas of the Facility during today's inspection. The facility has a total of 4 classrooms (Rooms 1,2,3 and 4).

Preschool Classroom measurements are:
The Indoor total measurements contain a total of {4334.92} square feet, which will accommodate Applicant's request for 83 preschool children.

Preschool Outdoor Play measurements are:
Outdoor total measurements contain a total of {18233.33} square feet, which will accommodate Applicant’s request for 83 preschool children.

LPA observed classrooms are clean, safe, sanitary and in good repair. All outdoor and indoor passage ways and other areas of potential hazard were free of obstruction. A comfortable temperature for children shall be maintained at all times. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All play equipment and materials used by children were observed to be age-appropriate. There are 100 chairs, 21 tables, 60 cubbies, 60 cots, 8 toilets, and 11 sinks available for preschool children. There is a separate staff toilet not utilized by the children which an isolated child can use if needed.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: CHANDLER TRIPP HEAD START
FACILITY NUMBER: 430706092
VISIT DATE: 01/14/2025
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LPA observed that the teacher/child ratio was in compliance during today's visit. The
facility serves lunch to the preschool children. The Applicant shall take measures to keep the center free of flies, other insects, and rodents. Lunch are prepared off site by provider Kidango. LPA advised Applicant as per Title 22, if food is prepared off the center premises, the following shall apply: (A)The preparation source shall meet all applicable requirements for commercial food services.(B) The center shall have the equipment and staff necessary to receive and serve the food and to clean up.(C) The center shall maintain the equipment necessary for in-house food preparation, or shall have an alternate source for food preparation and service in the event of an emergency. Commercial foods shall be approved by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. Drinking water is readily available for the children via water dispenser from filtered water source. Room 3 and 4 has Brita water filter. LPA observed that facility has a kitchen area kept off limits to children equipped with refrigerator and microwave.

LPA observed that the preschool playgrounds are surrounded by appropriate fencing. The preschool playgrounds have climbing structures with sufficient resilient materials (poured rubber). There is adequate age appropriate supplies and toys outdoors. Shade is provided by an umbrella and canopy. LPA observed no bodies of water. Based on today's inspection, LPA determined that the facility's physical plant is in compliance with applicable Health & Safety Codes and Title 22 Regulations.

An exit interview was conducted and a copy of appeal rights and this report was provided to Roopali Born, Director. Final license determination will be made upon review by the Licensing Program Manager. No deficiencies issued during today's inspection

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC809 (FAS) - (06/04)
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