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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
434413711
Report Date:
08/04/2020
Date Signed:
08/04/2020 12:17:06 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:
PLAY 'N' LEARN PRESCHOOL, INC.
FACILITY NUMBER:
434413711
ADMINISTRATOR:
LARIZ, TAMMY & MARC
FACILITY TYPE:
850
ADDRESS:
3800 NARVAEZ AVENUE
TELEPHONE:
(408) 269-9004
CITY:
SAN JOSE
STATE:
CA
ZIP CODE:
95136
CAPACITY:
197
CENSUS:
0
DATE:
08/04/2020
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
09:15 AM
MET WITH:
TAMMY lARIZ
TIME COMPLETED:
09:36 AM
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Licensing Program Analyst (LPA) Stephanie Collins conducted an announced Case Management inspection via video conference call (Facetime) with Director Tammy Lariz Facility was informed that due to COVID-19 situation this LIC809 Facility Evaluation Report will be emailed to the facility. Facility’s reply to the email will serve as acknowledgement that the report was received.
The Case Management Tele-Inspection is in response to facility’s request for a Unique Waiver. Play 'N" Learns' Program will extend to Kindergarten Classroom and a designated out door class room area (Shaded by Canopies) for an estimated 24 School age children.
LPA toured the facility both inside and out. In door class room appears to have appropriate items (fire and carbon monoxide detectors) appropriate tables and chairs. Fire clearance request 08/04/2020 San Jose Fire Dept.
SUPERVISOR'S NAME:
Sandy Knight
TELEPHONE:
(408) 324-2151
LICENSING EVALUATOR NAME:
Stephanie Collins
TELEPHONE:
(408) 334-8555
LICENSING EVALUATOR SIGNATURE:
DATE:
08/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/04/2020
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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