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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
430709449
Report Date:
04/18/2023
Date Signed:
04/18/2023 12:17:38 PM
Document Has Been Signed on
04/18/2023 12:17 PM
- It Cannot Be Edited
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:
MORGAN HILL PARENT-CHILD NURSERY SCHOOL
FACILITY NUMBER:
430709449
ADMINISTRATOR:
STEFANIE ZOCCOLI
FACILITY TYPE:
850
ADDRESS:
16870 MURPHY AVENUE
TELEPHONE:
(408) 779-4515
CITY:
MORGAN HILL
STATE:
CA
ZIP CODE:
95037
CAPACITY:
24
CENSUS:
13
DATE:
04/18/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
11:56 AM
MET WITH:
Stefanie Zoccoli
TIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management-Other inspection. LPA met with Director Stefanie Zoccoli and explained the reason for the inspection. The purpose of this inspection is to amend the 809D report dated 03/21/2023.
Facility only uses the sinks for hand washing. Facility uses bottle water. Director submitted self-certification that the center only uses bottle water during today's inspection.
No deficiencies were issued as a result of this inspection. Exit interview conducted and report was reviewed with Director Stefanie Zoccoli. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISOR'S NAME:
Joel Segura
TELEPHONE:
(408) 334-8550
LICENSING EVALUATOR NAME:
Samantha Yip
TELEPHONE:
(408) 529-8128
LICENSING EVALUATOR SIGNATURE:
DATE:
04/18/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/18/2023
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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