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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270710411
Report Date: 11/30/2023
Date Signed: 11/30/2023 11:31:30 AM

Document Has Been Signed on 11/30/2023 11:31 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:GREENFIELD UNION SCHOOL DISTRICT-PRESCHOOL PROGRAMFACILITY NUMBER:
270710411
ADMINISTRATOR:TERESA RAMIREZFACILITY TYPE:
850
ADDRESS:490 EL CAMINO REALTELEPHONE:
(831) 674-8731
CITY:GREENFIELDSTATE: CAZIP CODE:
93927
CAPACITY: 45TOTAL ENROLLED CHILDREN: 34CENSUS: 30DATE:
11/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Erin RamirezTIME COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) Deanna Villagrana met with Director, Erin Ramirez for a case management inspection to follow-up on an unusual incident report (UIR) the preschool self reported and received by Licensing on 11/03/2023. LPA observed 13 children one teacher and two aides in room 38 and 17 children with one teacher, two aides and one volunteer grandparent.

It was reported by teacher 1 that teacher 2 was mishandling children in the classroom. The school's Human Resource Department conducted their own interviews with staff regarding allegations. LPA obtained copies of the interviews. Director states it was referred to CPS which declined to investigate and referred to the Police Department. Director states she has not received anything from the Police Department and based on interviews, allowed the teacher to return to work.

No Deficiency was cited.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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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