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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400029
Report Date: 12/09/2024
Date Signed: 12/09/2024 03:28:33 PM

Document Has Been Signed on 12/09/2024 03:28 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CHRISTOPHER RANCH HEAD STARTFACILITY NUMBER:
434400029
ADMINISTRATOR/
DIRECTOR:		ANGELICA GUZMANFACILITY TYPE:
850
ADDRESS:305 BLOOMFIELD AVENUETELEPHONE:
(408) 453-6900
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 48TOTAL ENROLLED CHILDREN: 13CENSUS: 9DATE:
12/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Emma MonicaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 12/9/2024, at 2:20 PM, Licensing Program Analyst (LPA) Liridon Fici-Doni arrived unannounced to conduct a Required 1-Year Inspection and was greeted by Emma Monica, Site Supervisor (SS). LPA toured the indoor and outdoor areas of the Facility with SS during today's inspection.

LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Child Car Seat Law (PUB 269), Menus, and Activity Schedule. Days and hours of operation are Monday through Friday 7:00AM to 4:45 PM.

One staff file was reviewed, which contains the required forms/documents, including current CPR and First Aid certifications on file. Staff member has current Mandated Reporter Training on File. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during any off-site activities. Last fire/disaster drill was completed on 11/13/2024.

LPA observed that the teacher/child ratio was in compliance during today's inspection. LPA observed three (3) Staff and 9 Children during today's inspection.



This annual will continue at a later date.

A Notice of Site Visit was given and must remain posted for 30 days.



No Deficiencies were issued at this time.

Exit interview conducted with SS, and a copy of this report review and provided.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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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