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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415457
Report Date: 08/03/2022
Date Signed: 08/03/2022 01:14:03 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/03/2022 01:14 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: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:
08/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:57 AM
MET WITH:Kristina ChmelkaTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA), Janette Cruz met with Kristina Chmelka, Principal of Allen @ Steinback School for an unannounced annual Required 1-Year inspection. LPA explained the purpose of today's visit to Kristina. Kristina stated that the preschool program has already been closed and no preschool exist on the school site. Kristina stated the last day of operations of the preschool was June 9, 2022. Kristina stated that in her best knowledge the San Jose Unified School District informed them that there will be no more state preschool operating on their school site to make way for a transitional kindergarten program expansion.

LPA informed Kristina that Allen@Steinback Preschool did not notify the Department regarding the preschool's closure. Kristina stated that there is no representative from the preschool available to sign the inspection report.

Notice of Site Visit was not issued due to facility is no longer operating.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2022
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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