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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410807
Report Date: 02/10/2025
Date Signed: 02/11/2025 03:01:35 PM

Document Has Been Signed on 02/11/2025 03:01 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:STRATFORD SCHOOLFACILITY NUMBER:
434410807
ADMINISTRATOR/
DIRECTOR:		MEHERNAAZ IRANIFACILITY TYPE:
850
ADDRESS:890 POMEROY AVENUETELEPHONE:
(408) 244-4073
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 264TOTAL ENROLLED CHILDREN: 264CENSUS: 60DATE:
02/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Mehernaaz IraniTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Anna Morales conducted a Case Management inspection regarding an Unusual Incident that was reported by the facility Licensing on 2/5/2025. LPA was greeted by Director Mehernaaz Irani. LPA toured the facility, interviewed staff and reviewed files.

Based on interviews and evidence gathered, it was determined that on February 3,2025, approximately at 5:45pm, a Preschool aged child was left unattended inside Classroom A1.

A Type B citation was issued at today's visit and the citation warrants an immediate civil penalty of $500.00 and is hereby assessed, See LIC421IM. An exit interview was conducted, and Plan of Corrections were reviewed.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
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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Document Has Been Signed on 02/11/2025 03:01 PM - It Cannot Be Edited


Created By: Anna Morales On 02/10/2025 at 02:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: STRATFORD SCHOOL
FACILITY NUMBER: 434410807

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2025
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision(a)(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Program Director has submitted a plan that ensures that children are supervised at all times and the citation has been cleared during the Inspection.
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This requirement was not met as evidenced by: C1 was left unattended in inside Classroom A1 on 2/3/2025, which poses a potential risk to the health, safety, and personal rights of children in care.
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This is a zero-tolerance violation, an immediate civil penalty of $500 was assessed during the inspection.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Gladys Kuizon
LICENSING EVALUATOR NAME:Anna Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 02/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/10/2025


LIC809 (FAS) - (06/04)
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