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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414335
Report Date: 10/10/2023
Date Signed: 10/10/2023 02:03:53 PM


Document Has Been Signed on 10/10/2023 02:03 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:ABC LEARNING MONTESSORI, LLCFACILITY NUMBER:
434414335
ADMINISTRATOR:SANDRA YVETTE CALDERONFACILITY TYPE:
850
ADDRESS:15345 CALLE ENRIQUETELEPHONE:
(408) 465-2015
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:50CENSUS: 25DATE:
10/10/2023
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:Noorsimah ThompsonTIME COMPLETED:
12:20 PM
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) Samantha Yip conducted an unannounced Collateral inspection. LPA met with Acting Director, Noorsimah Thompson and explained the reason for the inspection. The purpose of this inspection is to interview a staff. LPA also reviewed acting director's file. She stated the Director Yvette will be returning on 11/01/2023.

No deficiencies were issued as a result of this inspection. Exit interview conducted and report was reviewed with Acting Director, Noorsimah Thompson. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2023
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