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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434403619
Report Date: 09/26/2023
Date Signed: 09/28/2023 03:06:25 PM


Document Has Been Signed on 09/28/2023 03:06 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:CATALYST KIDS - HAYESFACILITY NUMBER:
434403619
ADMINISTRATOR:DIANA RAMOSFACILITY TYPE:
850
ADDRESS:5035 POSTON DRIVETELEPHONE:
(408) 629-1185
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:48CENSUS: 0DATE:
09/26/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Diana HosnTIME COMPLETED:
01:35 PM
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On 09/26/2023 at 12:25pm, Licensing Program Analyst (LPA), Farida Raja arrived to conduct an unannounced Required 1-Year inspection in the Preschool Program. The facility is licensed to serve children ages 2 years to entry into kindergarten in portable rooms 1 and 2 located on the Hayes Elementary School Campus. LPA met with Director, Diana Hosn and Center Manager, Quy Nguyen, and stated the purpose of today's inspection. Director and Center Manager, informed LPA that the preschool program has not been in operation since COVID (March 2020). Quy stated that the program is kept open in case parents are interested but have not had any parents interested or who qualify for their subsidy program. As center obtains contract money and are fully funded from the state, they chose to stay open and have staff but no children are enrolled at present. LPA conducted a Case Management inspection today. LPA obtained Director paperwork for Director, Diana Hosn.

Exit interview conducted and report was reviewed with the Director, Diana Hosn.

As a result of today's inspection, there were no deficiencies cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2023
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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