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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 440710119
Report Date: 11/04/2021
Date Signed: 11/04/2021 04:31:57 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:SIMCHA PRESCHOOLFACILITY NUMBER:
440710119
ADMINISTRATOR:LISA MENDEZFACILITY TYPE:
850
ADDRESS:3055 PORTER GULCH RDTELEPHONE:
(831) 479-3449
CITY:APTOSSTATE: CAZIP CODE:
95003
CAPACITY:45CENSUS: 40DATE:
11/04/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Caitlin ClancyTIME COMPLETED:
12:50 PM
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Licensing Program Analyst (LPA) Dung Mac conducted an unannounced case management inspection to the Facility today in response to Facility’s request to increase capacity from 45 to 49 children. A Fire Clearance has been granted for the increase on 10/20/2021.

LPA met with Caitlin Clancy, Site Director, and explained the nature of today's visit. The hours of operation are Monday-Friday 7:30AM-5:20PM, serving children 2-6 years old.

Director states that there were no changes to the classroom layouts since the last inspections on 8/14/2020; therefore, the indoor space was not measured during today's inspection.

Indoor Measurements:
Room 6 = 513.560 sq. ft.
Room 7 = 442.062 sq. ft.
Room 8 = 569.526 sq. ft.
Room 9 = 270.430 sq. ft.

TOTAL INDOOR ACTIVITY SPACE:
1,795.578 sq. ft. divided by 35 sq ft. /child = 51 children

(Measurements of Room 6 were taken on 8/14/2020 and Room 7,8, and 9 on 1/03/2008).

There are 5 toilets (75) and 5 sinks (75) available for children to use. LPA observed 12 tables, 58 chairs, and 51 cubbies. Drinking water is available both indoors and outdoors.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Dung MacTELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SIMCHA PRESCHOOL
FACILITY NUMBER: 440710119
VISIT DATE: 11/04/2021
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Director states that there were no changes to the layouts of the playgrounds since last inspection on 8/14/2020; therefore, the outdoor space was not measured during today's inspection.

Outdoor Measurements:
Outdoor Space Used By Room 7 = 1,300.398 sq. ft.
Outdoor Space Used By Room 8 = 9,156.235 sq. ft.
Outdoor Space Used By Room 9 = 798.000 sq. ft.

TOTAL OUTDOOR SPACE = 11,254 sq ft divided by 75 = 149 children
(Measurements were taken on 1/03/2008)

Playgrounds are completely surrounded by appropriate fencing. Shade is provided by trees and canopies. No bodies of water were observed.

LPA conducted an exit interview and advised Site Director that facility’s request for capacity increase will be submitted to Licensing Management for the final stage of approval.

NOTICE OF SITE VISIT WAS ISSUED.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Dung MacTELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC809 (FAS) - (06/04)
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