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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400477
Report Date: 05/23/2019
Date Signed: 05/23/2019 09:29:31 AM

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:ALMADEN PRESCHOOLFACILITY NUMBER:
434400477
ADMINISTRATOR:STORIE, PATSYFACILITY TYPE:
850
ADDRESS:1295 DENTWOOD DRIVE, PS 1 & 2TELEPHONE:
(408) 535-6677
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:47CENSUS: 29DATE:
05/23/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Cesar HerreraTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA), Oscar Huang, met with teacher Cesar Herrera for a Plan of Correction in regards to a type A citation of Care and Supervision was issued on 05/09/2019 that a child was left unattended in the classroom. LPA explained to Teacher Herrera the nature of today visit. LPA also observed one teacher assistant and 13 preschool children in classroom 16B, one teacher and one teacher assistant and 16 preschool children in classroom PS-2.

LPA observed all children are under supervision, including visual supervision during the inspection; LPA reviewed parents sign-in/out and staff attendance records and the facility was/is operating within ratio. LPA observed the notice of site visit which was issued on 05/09/2019 was posted on the wall of next to the entrance door along with the Type "A" deficiency report. LPA also observed Acknowledge of Receipt of Licensing Report were obtained from parents/guardians of children in care with signature and kept in each child's file.

School district program manager submitted a plan of correction to CCL prior to today's inspection along with the staff development meeting agenda and staff names and signatures who attended the training.

Teacher Herrera stated that a parents conference was also held on Thursday 5/16 to talk about the incident.

No deficiency was cited. Exit interview conducted with Teacher Herrera.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
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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