<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413759
Report Date: 09/20/2022
Date Signed: 09/20/2022 11:21:05 AM


Document Has Been Signed on 09/20/2022 11:21 AM - It Cannot Be Edited

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:ACCELERATION ACADEMYFACILITY NUMBER:
434413759
ADMINISTRATOR:JYOTI DAWRAFACILITY TYPE:
850
ADDRESS:743 S WOLFE ROADTELEPHONE:
(408) 732-2200
CITY:SUNNYVALESTATE: CAZIP CODE:
94086
CAPACITY:86CENSUS: 35DATE:
09/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sonal GidvaniTIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Mel Matos met with Sonal Gidvani, director, for an unannounced case management inspection. Purpose of inspection: address operation status of the second facility located at 404 E. Evelyn Ave, Sunnyvale, CA 94086 (Facility #: 434412146). Per Department records, the Evelyn location is currently on "inactive" status.

LPA spoke with Bhawna Patkar, Licensee representative, via telephone during today's inspection and Bhawna states that she no longer has a lease at the Evelyn location since she has officially closed the preschool.

LPA advised Bhawna that she will need to close out her license at the Evelyn location since she no longer has control of property of that property.

Bhawna states that she understands LPA's explanation and will submit a written/signed letter requesting closure of the Evelyn location license within the next few days.

No deficiencies issued during today's inspection.

Notice of site visit was issued and must remain posted in a visible location for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1