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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400322
Report Date: 11/20/2019
Date Signed: 11/20/2019 04:00:21 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:MERRYHILL SCHOOL 1070FACILITY NUMBER:
434400322
ADMINISTRATOR:LEW, VIOLAFACILITY TYPE:
850
ADDRESS:1500 YOSEMITE DRIVETELEPHONE:
(408) 945-9090
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:50CENSUS: 0DATE:
11/20/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Viola LewTIME COMPLETED:
04:05 PM
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Licensing Program Analyst (LPA) Tuoc Doan conducted an unannounced site visit to the Preschool for an inspection. LPA met with Preschool Director Viola Lew and explained to her the purpose of the site visit is to follow up with the facility about the current operation status of the Preschool.

During LPA's Annual inspection of the Preschool on 06/18/19, Director informed LPA that the Preschool has ceases operation since 05/28/19.

During today's visit, Director confirmed that the Preschool, serving children ages 3 to 5 years, will not be in operation this academic school year, which is from August 2019 to May 2020. The two Preschool classrooms, #2 and #3 and play yard are currently being used by the Kindergarten children from the facility's Private Elementary School for Grade K to 8. LPA inspected the two rooms and play yard with Director.

Director stated that the facility will continue to maintain their Preschool Child Care Center License.

In the areas that were evaluated, no regulatory violations were observed at the time of the inspection.

Exit Interview was conducted, where this report was reviewed with Director Viola Lew.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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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