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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414162
Report Date: 06/14/2024
Date Signed: 06/14/2024 11:52:48 AM

Document Has Been Signed on 06/14/2024 11:52 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:SAFARI KIDFACILITY NUMBER:
434414162
ADMINISTRATOR/
DIRECTOR:		SUHASINI RAMAKRISHNANFACILITY TYPE:
850
ADDRESS:20100 STEVENS CREEK BLVDTELEPHONE:
(408) 253-3712
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 88TOTAL ENROLLED CHILDREN: 45CENSUS: 28DATE:
06/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:16 AM
MET WITH:Suhasini RamakrishnanTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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Licensing Program Analyst (LPA) Marilou Monico conducted a follow-up Case Management Inspection in response to an alleged incident that was self-reported by Site Director, Suhasini Ramakrishnan, to Licensing involving two preschool age children (C-1 & C-2). LPA met with Site Director, Suhasini Ramakrishnan, and explained to her the purpose of the inspection.

Based on interviews and evidence gathered during the investigation process, it is concluded that the department was not able to prove or disprove that there was lack of supervision or staff violated children's personal rights.

As a result of this inspection, there were no deficiencies cited.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2024
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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