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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
434410803
Report Date:
06/19/2019
Date Signed:
06/19/2019 04:51:02 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:
CREATIVE MINDS CHILD DEVELOPMENT CENTER
FACILITY NUMBER:
434410803
ADMINISTRATOR:
RICHA D. KAPUR
FACILITY TYPE:
830
ADDRESS:
4977 DENT AVENUE
TELEPHONE:
(408) 445-0101
CITY:
SAN JOSE
STATE:
CA
ZIP CODE:
95118
CAPACITY:
14
CENSUS:
9
DATE:
06/19/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
03:00 PM
MET WITH:
Richa Kapur
TIME COMPLETED:
05:00 PM
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LPA Janet Tse met with licensee/director Richa Kapur for a case management inspection to take measurements of the indoor and outdoor space in order to update the infant license. LPA explained the nature of today's inspection to Director. LPA toured the indoor and outdoor of the facility. The infant program only uses the Green Room (Room 1) for indoor space. The infant program will be sharing the Bikes & Strollers Yard and the Grassy Yard with the preschool program at different schedules. LPA observed nine children with three teachers and one teacher assistant in the Green Room.
INDOOR MEASUREMENTS:
Green Room:
38.667 x 20.250 = 783.006 minus 29.493 (encumbered space) =
753.513
TOTAL INDOOR SPACE: 753.513 sq. ft. divided by 35 = 21 children.
OUTDOOR MEASUREMENTS:
Grassy Yard:
25.833 x 73 =
1885.809
Bikes & Strollers Yard:
(36.083 x 25.583) + (56 x 30.750) = 923.111 + 1722
= 2645.111 minus 143.006 (encumbered space) =
2502.105
TOTAL OUTDOOR SPACE: 4387.914 sq. ft. divided by 75 = 58 children.
A letter requesting shared playground usage with the preschool program at different schedules was provided to LPA today. The facility sketch and daily schedule for each room were previously provided to LPA. Currently the infant program is only using the Bikes & Strollers Yard. Usage of the Grassy Yard and shared playground usage pending approval of Licensing Management.
No deficiency was cited. Notice of site visit was issued and must be posted for 30 days.
SUPERVISOR'S NAME:
Mary Segura
TELEPHONE:
(408) 324-2152
LICENSING EVALUATOR NAME:
Janet Tse
TELEPHONE:
(408) 334-8547
LICENSING EVALUATOR SIGNATURE:
DATE:
06/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/19/2019
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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