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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415457
Report Date: 11/02/2021
Date Signed: 11/02/2021 11:54:53 AM

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: DATE:
11/02/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Susan FloresTIME COMPLETED:
12:00 PM
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On 11/02/2021 at 10:15 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with lead teacher, Susan Flores, for a playground inspection. Present were three teachers with preschool children.

Facility playground had been under construction, construction had finished on 10/28/2021. LPA measure the preschool playground only:
Measurement:
Section 1: 17 x 63.7= 1082.9
Section 2: 55.6 + 63.7 + 35 = 154.3/2= 77.15
Section 3: 15 + 14.2 + 28 = 57.2/2= 28.6
Section 4: 46.1 x 16.8 = 774.48
Section 5: 30.8 x 22.6 = 696.08
Section 6: 19.3 x 10.6 = 204.58
Total space: 2,863.79/75= 38.18386

Facility has enough outdoor space for 38 children, facility is licensed for 24. Play equipment is age appropriate and is surrounded by resilient material: turf grass.

Exit interview conducted and report was reviewed with the facility representative, Susan Flores, No deficiencies were cited during today's visit. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy CervantesTELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021
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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