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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415457
Report Date: 08/16/2021
Date Signed: 08/16/2021 01:51:44 PM

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:ALLEN @ STEINBECK PRESCHOOLFACILITY NUMBER:
434415457
ADMINISTRATOR:CLAUDIA PATERSONFACILITY TYPE:
850
ADDRESS:820 STEINBECK DRIVETELEPHONE:
(408) 535-6205
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:24CENSUS: 0DATE:
08/16/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Katherine O'MalleyTIME COMPLETED:
02:00 PM
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On 08/16/2021 at 1:00 PM, Licensing Program Analyst (LPA), Susy Cervantes, met with early education department coach, Katherine O'Malley, for a case management visit in regards to a temporary relocation of the outdoor play area. There were no children present at the time of the visit, school will be starting on Wednesday 08/18/2021.

Temporary outdoor play area measurements:

(32.2 x 33) + (23 x 26.7) = 1676.7 sq. ft divided by 75 = 22.356

Outdoor play area has enough space for 22 children. LPA was informed they are expecting to have the play area for the children ready by October 15, 2021, however due to Covid-19, the turf is currently on back order and is expected in September 2021. LPA informed the educational coach to notify licensing if they need to use the temporary relocation area longer than October 15, 2021. The temporary outdoor area has appropriate fencing, toys will be taken out to the outdoor play area and sanitized after each cohort. LPA reminded educational coach that children must be supervised at all times. Labeled water bottles will be used and taken outside each time the children are in the outdoor play area. Per LPM, a waiver is not needed for the temporary outdoor play area relocation.

An exit interview was conducted with educational coach, Katherine O'Malley. No deficiencies were cited during today's visit.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy CervantesTELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021
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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