<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270709281
Report Date: 07/31/2024
Date Signed: 07/31/2024 11:21:02 AM

Document Has Been Signed on 07/31/2024 11:21 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:ST. ANGELA'S PRESCHOOLFACILITY NUMBER:
270709281
ADMINISTRATOR/
DIRECTOR:		HEATHER DIAZFACILITY TYPE:
850
ADDRESS:136 8TH STREETTELEPHONE:
(831) 372-3555
CITY:PACIFIC GROVESTATE: CAZIP CODE:
93950
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 0DATE:
07/31/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Heather DiazTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Andrea Cortez conducted an unannounced Case Management- Lead Testing/Exceedance inspection. LPA met with Director Heather Diaz and explained the reason for the inspection. The purpose of this inspection is to check if the facility was in compliance Health and Safety (HSC) Code section 1597.16. Director confirmed lead testing was performed by Enthalpy Analytical. Census is 0 as school opens August 7th 2024.

At 9:05 AM LPA and Director toured classrooms, Sea House, Sea Otter, and Sea Turtle. LPA observed Sea Horse and Sea Turtle classrooms sinks were capped off and signs posted "do not use". Director turned on water faucets and no water came out. Additionally, Director stated their were reverse osmosis filters installed in all classrooms by Pacific West. LPA observed filters in place and in operable condition.

Director copied: Enthalpy Analytical Result Summary, LIC 999, LIC 9275, and LIC9276

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with Director Heather Diaz.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1