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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434401131
Report Date: 12/19/2023
Date Signed: 12/19/2023 10:07:24 AM


Document Has Been Signed on 12/19/2023 10:07 AM - 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:MEZEY, THERESAFACILITY NUMBER:
434401131
ADMINISTRATOR:MEZEY, THERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 224-3442
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:14CENSUS: 7DATE:
12/19/2023
TYPE OF VISIT:Case Management - Infrastructure GrantUNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Theresa MezeyTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Janette Cruz conducted an unannounced case management inspection and met with Theresa Mezey, Licensee. Purpose of today's visit is to inspect additional daycare area "sunroom," that had been granted approval by San Jose Fire Department on 12/7/23. LPA observed that the sunroom is clean, with adequate heating/ventilation, and safe for the day care children. LPA also observed that the sunroom has an alarmed sliding door access leading to the fenced outdoor yard play area. Off limit area in the backyard is a fully fenced swimming pool that meets Title 22 Regulations. LPA also observed Licensee's spouse/adult assistant, Tamas Mezey and seven day care children (4 infants, 3 preschool) present during today's inspection. Licensee provided LPA with child care roster.

No deficiency was cited during today's inspection. Exit interview was conducted with Theresa Mezey, Licensee.

A Notice of Site Visit was issued and must be posted for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2023
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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