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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412720
Report Date: 11/02/2022
Date Signed: 11/02/2022 04:19:17 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 11/02/2022 04:19 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:FAMILY SUPPORTIVE HOUSING-VOYAGER'S DAY CARE CTRFACILITY NUMBER:
434412720
ADMINISTRATOR:PATRICIA CROWDERFACILITY TYPE:
830
ADDRESS:692 NORTH KING ROADTELEPHONE:
4089268885
CITY:SAN JOSESTATE: CAZIP CODE:
95133
CAPACITY: 4TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
11/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christi Mkelly TIME COMPLETED:
11:30 AM
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On 11/2/2022 Licensing Program Analysts LPA Stephanie Collins conducted an annual random inspection. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Licensee representative Christi Mkelly and Administer Beth Leary and explained the nature of today's inspection.

LPA toured the inside and outside of facility. LPA observed No children in care, No teaching staff present. Licensee Representative Christi Mkelly and Administer Beth Leary explained the day-care has not been open since the COVID-19 pandemic and they are not sure if or when the facility will re-open.

Licensee representatives are requesting an Inactive child care license status for both the Infant and Preschool Licenses (#434412720 and #434412719) until more definite plans can be made. Licensee Reprehensive Christi Mkelly completed the LIC 9211 (Request for Inactive Child Care License Status). Term of the inactive status was discussed with licensee representative.

Licensee reprehensive was informed the request will be reviewed my management for final review and approval.

At this time, there were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with facility representative,


SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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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