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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430709802
Report Date: 07/14/2021
Date Signed: 07/15/2021 05:32:06 PM

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:OCHOA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
430709802
ADMINISTRATOR:PATRICIA KEITHFACILITY TYPE:
830
ADDRESS:902 ARIZONA CIRCLETELEPHONE:
(408) 842-2201
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY:12CENSUS: 0DATE:
07/14/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Maria QuinteroTIME COMPLETED:
03:50 PM
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Licensing Program Analysts (LPAs) Samantha Yip and Cortney Nelson conducted an unannounced Required 1 Year inspection. LPAs met with Maria Quintero, teacher, and explained the reason for the inspection. Maria informed LPAs that Site Director Perlina Chavez is not present today. Maria also informed LPAs that the infant room is currently not being used.

Due to Site Supervisor not being present, LPAs were unable to tour the inside of the facility. LPAs toured the outside area, which was fenced. Shaded rest area is provided through building overhang.

No children's files or staff files were reviewed during today's inspection due to infant program being closed. Required 1 year inspection will continue at a later time.

As a result of this inspection, no deficiencies were cited. An exit interview was conducted where this report was discussed and provided to Maria Quintero, teacher. A Notice of Site has been issued and must be posted for 30 consecutive days.

Facility was informed that the Annual Inspection will continue and be completed at a later date.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
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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