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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430709420
Report Date: 07/08/2021
Date Signed: 07/08/2021 03:02:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MILPITAS CHRISTIAN PRESCHOOLFACILITY NUMBER:
430709420
ADMINISTRATOR:SHEILA TANIMURAFACILITY TYPE:
850
ADDRESS:1000 S. PARK VICTORIA DRIVETELEPHONE:
(408) 945-6530
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:180CENSUS: 0DATE:
07/08/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Sheila TanimuraTIME COMPLETED:
03:00 PM
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On Thursday, July 8, 2021 at 2 pm, Licensing Program Analyst (LPA) Manel Estoesta, Oakland South Regional Manager (RM) Anika Evans and Licensing Program Manager (LPM) Jason Jang conducted an announced and or scheduled Non-Compliance Conference (NCC) via Zoom Video Software Application. LPA, RM and LPM met with the Director Sheila Tanimura. Present on this visit were the facility's Program Supervisor Christine Fennell and Administrative Assistant Sharon Conan.

The purpose of today's NCC is to discuss the facility's compliance and ability to follow the Title 22 Regulations. This NCC is a result of a recent Type A citation issued on 06/14/2021 visit. The facility and or licensee is in violation of California Code of Regulations Title 22, Division & Chapter 1 Article 06 Continuing Requirements 101229 Responsibility for Providing Care and Supervision (a)(1).

The licensee and or director assured that the she understands the severity of the citation and has come into compliance with the regulation. The director understands that no child(ren) shall be left without the supervision of a teacher at any time and supervision shall include visual observation.

The facility and or director understands that Community Care Licensing will increase monitoring of the home for the next twelve months. The facility and or director was informed that any further noncompliance of serious violation will subject for administrative action.

An exit interview was conducted with the director. A copy of this report will be emailed to the Director including a copy of the Appeal Rights today July 8, 2021. The Director shall sign the report and send a copy to LPA via email or mail.

This report shall remain on file for 3 years.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021
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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