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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415300
Report Date: 08/11/2022
Date Signed: 08/11/2022 11:58:52 AM


Document Has Been Signed on 08/11/2022 11:58 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:ENGENIUS LEARNING CENTER @ BOOKSIN ELEMENTARYFACILITY NUMBER:
434415300
ADMINISTRATOR:IKEMOTO, DOUGFACILITY TYPE:
840
ADDRESS:1590 DRY CREEK ROADTELEPHONE:
(408) 785-1599
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY:150CENSUS: 0DATE:
08/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Doug IkemotoTIME COMPLETED:
12:10 PM
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Licensing Program Analysts (LPAs) Kassandra Medrano and Mel Matos met with co-director Doug Ikemoto for a case management inspection. LPA's explained the nature of today's inspection to Doug.The Facility is currently closed for summer break and will reopen on 8/17/2022. The program is currently licensed in Rooms 5,6,7,8, and Library.The program has requested to add two classrooms (Rooms F & 24) without changing their capacity. Measurements of Rooms F & 24 were taken during today's inspection.
Since the program will be operated at a functioning elementary school site, the facility is exempt from the indoor and outdoor square footage requirements, fencing requirements, and toilet/sink ratios and isolation area requirements. The Facility has yet to submit an updated capacity letter and lease/rental agreement from the San Jose Unified School Districts that reflects the new additions, rooms F and 24.The following measurements were taken today:
INDOOR MEASUREMENTS:
Room F: (14 x 8=118) + (31.167 x 23.167=722.05) = 1,693.06
(14 x 8=118)+(31.167 x 23.583=735.01)
Room 24: 39 x 21.750= 848.25

TOTAL INDOOR SPACE: 2,541.31 sq. ft. divided by 35 = 72 children
During the inspection it was observed that the two rooms requested for use by the Facility are still licensed by YMCA @ Booksin (430709472). The Facility has exclusive use of the kindergarten playground. LPAs observed adequate shade (building overhang and trees in the Kindergarten playground. The play structure in the Kindergarten playground is designated for ages 5-12 year olds. The structure has artificial turf and cushioning underneath as resilient materials. LPA's discussed the usage of the In this yard, LPAs observed appropriate/sufficient indoor/outdoor materials/supplies for the preschool children.

LPAs conducted an exit interview with Doug Ikemoto, co-director, and advised him that Rooms F & 24 will be approved & added to the Licensee upon receipt of the following:
1. Fire Clearance approval from the City of San Jose Fire Department.
2. Rental/lease agreement from the San Jose Unified School District verifying Control of Property for existing licensed rooms: Rooms 5, 6, 7, 8, & Library plus additional Rooms F & 24.
3. Capacity letter from the San Jose Unified School District for all rooms.
4. YMCA @ Booksin (430709472) has submitted a request to the Department requesting to drop Rooms F and 24 from their existing license.

No deficiencies issued and Notice of site visit issued and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (408) 324-2148
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
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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