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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 440702049
Report Date: 02/01/2024
Date Signed: 02/01/2024 10:48:56 AM


Document Has Been Signed on 02/01/2024 10:48 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:PACIFIC PRE-SCHOOLFACILITY NUMBER:
440702049
ADMINISTRATOR:JAMES ERIC GROSSFACILITY TYPE:
850
ADDRESS:50 OCEAN STREETTELEPHONE:
(831) 425-7002
CITY:DAVENPORTSTATE: CAZIP CODE:
95017
CAPACITY:24CENSUS: 17DATE:
02/01/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:James "Eric" GrossTIME COMPLETED:
11:00 AM
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Licensing Program Analyst(LPA) Jessica Bongardt met with Eric Gross today to go over the plans for the demolition of the current preschool that they have on property. LPA toured the preschool facility. LPA also toured the classroom that the preschool will be moved to while the construction is going to be happening. That classroom has sufficient amount of toys and materials for the children.

Demolition of the old preschool will begin June 1, 2024 once the children are out of school and will continue into the new school year. Due to the construction, if it gets to loud for the children they plan to already have built a garden classroom for the preschool children to go to so that they can avoid the noise. The garden is already established they are going to build the structure around the garden.

Once the buildings are constructed Licensee will submit in a new Application for the buildings.

Exit interview was conducted.

Notice of site visit was issued and must be posted for 30 days.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510)-566-5850
LICENSING EVALUATOR NAME: Jessica BongardtTELEPHONE: 408-834-2558
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024
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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