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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430700419
Report Date: 11/12/2024
Date Signed: 11/13/2024 08:43:50 AM

Document Has Been Signed on 11/13/2024 08:43 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MILPITAS DISCOVERYLANDFACILITY NUMBER:
430700419
ADMINISTRATOR/
DIRECTOR:		PENNY CORPUSFACILITY TYPE:
850
ADDRESS:1991 LANDESS AVENUETELEPHONE:
(408) 263-7626
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: 18DATE:
11/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Director Penny CorpusTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 11/12/2024 at 9 am, Licensing Program Analyst (LPA) Manel Estoesta and Licensing Program Manager (LPM) Jason Jang conducted a Case Management Visit. LPA met with the Director Penny Corpus and explained the nature of the site visit. Present on this visit were 7 Teachers and 18 preschool children. The facility operates from Monday to Friday 7am to 6pm.

The Director sent a completed LIC 624 via email on Tuesday, November 5, 2024, at 2:33 PM. C1 sustained an injury in the facility on 11/4/2024 at 4:10 pm.

LPA conducted Staff Interview. As per interview, C1 sustained the injury after C1 was signed out by S2 at 3:33 pm. S2 is also an authorized person to pick up C1.

There are no deficiencies cited on this visit.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with the Director, Penny Corpus.
Jason JangTELEPHONE: (510) 725-7009
Manel EstoestaTELEPHONE: (510) 622-2602
DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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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