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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415740
Report Date: 07/25/2019
Date Signed: 07/25/2019 01:29:47 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:SPRINGBRIDGE INTERNATIONAL SCHOOLFACILITY NUMBER:
434415740
ADMINISTRATOR:REGAN, ROBERTFACILITY TYPE:
850
ADDRESS:1625 WEST CAMPBELL AVENUETELEPHONE:
(408) 477-5922
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:48CENSUS: 27DATE:
07/25/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Robert ReganTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Stephanie Rangel conducted a case management- licensee initiated inspection and met with Owner, Robert Regan. LPA arrived today in response to Facility's request to add the following rooms that are located on the 2nd floor of the building: PS Rooms 12, 11, 10, 9, and 8 to the license. These rooms will be used for occasional/seasonal use with examples of use such as indoor play time due to adverse weather conditions. The facility is also currently licensed in PS Rooms 1, 2, 3, 4 and 5. The facility has also asked for PS Rooms 6 and 7, that will be used as preschool instructional classroom space, to be added to the license. LPA toured the indoor and outdoor areas of the facility today.

The following measurements were taken today:
PS Room 6: 17.583 x 12.917 = 227.120 minus encumbered space .625 = 226.495
PS Room 7: 17.667 x 12.083 = 213.470

The Facility is currently not asking for an increase of capacity but, to be able to use the additional rooms and for the rooms to to be added to their license.

Fire clearance from the Santa Clara Co. Fire Department was granted on 3/14/19. Facility has been granted use of the additional space. Updated Facility sketch is filed and an updated license will be issued to the Facility.

As a result of this inspection, there are no deficiencies cited. Periodic information releases accessible by signing up at: www.myccl.ca.gov

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
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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