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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444413303
Report Date: 08/07/2019
Date Signed: 08/07/2019 04:02:37 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:COMMUNITY BRIDGES - HIGHLANDS PARKFACILITY NUMBER:
444413303
ADMINISTRATOR:ISIS GREENSPANFACILITY TYPE:
830
ADDRESS:8500 HIGHWAY 9TELEPHONE:
(831) 336-2857
CITY:BEN LOMONDSTATE: CAZIP CODE:
95005
CAPACITY:16CENSUS: 0DATE:
08/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Catherine KrennTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Zaid Hakim conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed zero (0) infants and zero (0) staff engaging in daily activities and met with Ms. Catherine Krenn, Director. LPA toured the inside of the facility inside and observed required postings including but not limited to; the License to Operate, Emergency disaster plan (LIC 610) and Notification of Parents Rights (PUB 393). Days and hours of operation are Monday through Friday 8:00am to 4:00pm. The facility is licensed to serve a maximum of 4 infants ages up to twenty four (24) months in the infant room and twelve (12) toddlers ages 18 months to 36 months. During the inspection, LPA learned that the facility has a separately licensed program at the same location and that the infant and toddler program does not operate during the summer months. No infants or toddlers were on site during the inspection and these classrooms were not in use. Although the facility is operating, these components are currently not in use at this time.

LPA briefly observed certain areas of the facility and determined this inspection will be completed at a later date due to time constraints, the absence of infants and toddlers, and the inaccessibility of files at this time. A Notice of Site Visit has been issued and must remain posted for 30 consecutive days. No Deficiencies have been cited at this time. Exit interview conducted with Ms. Catherine Krenn, Director.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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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