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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412407
Report Date: 05/01/2019
Date Signed: 05/01/2019 11:37:40 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:SNELL STATE PRESCHOOL/HEAD STARTFACILITY NUMBER:
434412407
ADMINISTRATOR:JUDY BUGRINFACILITY TYPE:
850
ADDRESS:3550 SNELL ROADTELEPHONE:
(408) 573-3340
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:72CENSUS: 52DATE:
05/01/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Barbara CarmodyTIME COMPLETED:
11:45 AM
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A joint visit was made by Analysts Behbood and Peter Tinkelenberg to follow up on a self reported incident regarding a child and a teacher. Met Site Supervisor Rocio Blankenship, who stated the incident was handled by their Human Resources Department. Assistant Director-Early Learning Services, Barbara Carmody arrived during visit. Purpose of visit explained. children and staff were interviewed, classrooms were inspected, children's roster was obtained.
Barbara explained the internal investigation has been conducted and not evidence was found to substantiate the allegation.
Based on the information obtained it is unclear if the statement that was made by a child is true or not.
No citation issued during today's visit.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
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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