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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434406707
Report Date: 07/18/2019
Date Signed: 07/18/2019 10:47:51 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:ST. FRANCIS OF ASSISI PRESCHOOLFACILITY NUMBER:
434406707
ADMINISTRATOR:ROCHELLE LEGGETTFACILITY TYPE:
850
ADDRESS:5111 SAN FELIPE ROADTELEPHONE:
(408) 223-1562
CITY:SAN JOSESTATE: CAZIP CODE:
95135
CAPACITY:15CENSUS: 12DATE:
07/18/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Irma GonzalesTIME COMPLETED:
10:50 AM
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On 07/18/19 Licensing Program Analyst [LPA] Monica Mathur conducted an unannounced Plan of Correction [POC] inspection at St Francis of Assisi Preschool for citations issued on 07/15/19. LPA met with Lead Teacher, Irma Gonzales and explained the purpose of today's inspection. Irma stated Director Rochelle Leggitt took the day off and was not present in the Center. LPA called Director and informed her the purpose of today's POC inspection. Director gave consent for Irma to sign and receive the Facility Evaluation Report today.
On 07/15/19 Two citations were issued during an annual/random inspection, noted below:.
CCR 101170(e)(1) Criminal Record Clearance: Staff member Holly Tarver did not have criminal record clearance.
CCR 101216.2(e) Teacher Aide Qualifications & Duties: No fully qualified teacher was present and children were being supervised by an Aide and another staff (no ECE units) who did not criminal record clearance and was not associated to the facility.
On 07/16/19 Director submitted to CCL a written plan of corrections for above citations.
During today's POC Inspection, LPA inspected the Preschool room and observed 12 children bring supervised by 3 staff members- Irma Gonzales (fully qualified teacher), Daniel Vu (Aide) and Holly Tarver (no units) supervising the children. LPA checked the Personnel status and noted that Holly was cleared in the database, and all staff present in the room have criminal record clearances and were associated to the facility. Facility is in compliance with above regulations and citations issued on 07/15/19 were cleared during this inspection.
Exit Interview was conducted, where this report was reviewed and signed by the Lead Teacher, Irma Gonzales confirming receipt of documents. LPA also provided the Letters of Clearance. 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) 324-2151
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
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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