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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444406042
Report Date: 09/01/2022
Date Signed: 09/01/2022 09:48:14 AM


Document Has Been Signed on 09/01/2022 09:48 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:LOHREY, DEBRAFACILITY NUMBER:
444406042
ADMINISTRATOR:LOHREY, DEBRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 475-8522
CITY:SANTA CRUZSTATE: CAZIP CODE:
95062
CAPACITY:14CENSUS: 0DATE:
09/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Debra LohreyTIME COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) Kaur met with licensee,Debra Lohrey, for annual inspection. Purpose of the inspection was explained.

During the inspection, licensee informed the LPA that licensee decided to close the day care 2 years ago. LPA explained the procedures of closing the day care. Licensee stated that licensee has decided to close. During the inspection, LPA received the child care license and a written statement from the licensee stating the closure of the day care.

No deficiencies are cited today. The copy of this report is reviewed and provided to the licensee.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (408) 529-3696
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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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