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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414131
Report Date: 01/12/2023
Date Signed: 01/12/2023 12:24:01 PM


Document Has Been Signed on 01/12/2023 12:24 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:SARATOGA FRENCH CULTURAL PRESCHOOLFACILITY NUMBER:
434414131
ADMINISTRATOR:BOUGACHOUCH, NADIAFACILITY TYPE:
850
ADDRESS:12850 SARATOGA AVENUETELEPHONE:
(408) 740-3350
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:45CENSUS: DATE:
01/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Nadia BougachouchTIME COMPLETED:
01:00 PM
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On 1/12/2022 LPA Pete Hernandez met with Licensee Nadia Bougachouch for an unannounced Case Management -Other visit. The purpose of the visit is to make an amendment the report language dated 12/14/2022. LPA explained the purpose of the visit to the Licensee and reviewed the amended report.

There were no deficiencies observed during the visit. A copy of this report was provided to the Licensee.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Pietro HernandezTELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023
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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