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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410784
Report Date: 05/02/2019
Date Signed: 05/02/2019 03:30:04 PM

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:GARDEN GATE PRESCHOOL CDCFACILITY NUMBER:
434410784
ADMINISTRATOR:MADU PAULFACILITY TYPE:
850
ADDRESS:10500 ANN ARBOR AVENUETELEPHONE:
(408) 725-0269
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:24CENSUS: 0DATE:
05/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:32 AM
MET WITH:Madhu Paul TIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA), Marilou Monico, conducted an annual random inspection. LPA met with Site Director, Madhu Paul, and explained the nature of today's visit. LPA did not observed preschool children present at the facility. Site Director states that preschool program is not in operation since June 2018 but would like to maintain the license on active status.

The indoor and outdoor areas were inspected. The preschool program is licensed in Room 21 from 9 AM to 12 PM. The room is clean, orderly, and safe for the daycare children. There is a kitchen in the classroom for food preparation and is equipped with microwave, stove, oven, refrigerator, dishwasher, and a sink with hot and cold running water. Site Director has current CPR/First Aid certifications with an expiration date of September 15, 2019. Cleaning compounds, medications, sharp objects, and other similar items are stored inaccessible to children. The children's bathrooms are clean, sanitary, and operable. LPA observed sufficient materials, toys, and play equipment for the day care children. There is at least one functioning carbon monoxide detector at the facility. Drinking water indoor and outdoor is via drinking fountains.

As a result of this visit, there were no deficiencies cited.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
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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