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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400388
Report Date: 07/26/2023
Date Signed: 07/28/2023 04:29:37 PM


Document Has Been Signed on 07/28/2023 04:29 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:DISCOVERY YEARS, THEFACILITY NUMBER:
434400388
ADMINISTRATOR:FARAHNAZ AKBARIFACILITY TYPE:
850
ADDRESS:11843 REDMOND AVENUETELEPHONE:
(408) 268-5165
CITY:SAN JOSESTATE: CAZIP CODE:
95120
CAPACITY:48CENSUS: 14DATE:
07/26/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Farahnaz AkbariTIME COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA) Janette Cruz met with Farahnaz Akbari, Director, to conduct an unannounced case management. Purpose of visit is to amend reports LIC9099 Complaint Investigation Reports issued to Licensee on 5/11/23, 06/08/23 and 7/11/20 and document complaints allegations for each visit. LPA observed ratio of staff with children in compliance.

Exit interview conducted and report was reviewed with Farahnaz Akbari, Director.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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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