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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430701361
Report Date: 02/21/2024
Date Signed: 02/22/2024 10:05:14 AM

Document Has Been Signed on 02/22/2024 10:05 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:ACTION DAY NURSERYFACILITY NUMBER:
430701361
ADMINISTRATOR:BATE, STEPHANIEFACILITY TYPE:
850
ADDRESS:2146 LINCOLN AVENUETELEPHONE:
(408) 266-8952
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY: 154TOTAL ENROLLED CHILDREN: 154CENSUS: 101DATE:
02/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lucy Nunez,Site DirectorTIME COMPLETED:
04:10 PM
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Licensing Program Analyst (LPA) Anna Morales conducted a Case Management visit and was greeted by Site Director Lucy Nunez. The purpose for this visit was to discuss the Center's plan/protocol for on site celebrations where food is being served to the children.

Site Director Lucy Nunez stated that a Notification/Flyer will be created by the Director and will be posted it in front of each of the classroom doors for the parents or responsible party(ies) for observation. Site Director stated that the Notification/Flyer states that the food has to be store bought and a Nut Free Zone.
Site Director stated that if a classroom has a child(ren) has an allergy to another food such as eggs, they will indicate it on the Notification/flyer.

Site Director stated that they have created and implemented additional steps to ensure that the Child(ren) Personal Rights will not be violated and will have the accommodations to meet the child(children's) needs.

A Technical Assistance was issued at today's visit and discussed with Site Director Lucy Nunez. LPA has requested Site Director to submit the Center's Protocol/Plan for On site Celebrations where food is being served to the children by March 1, 2024.

NOTICE OF SITE VISIT WAS ISSUED AND WAS INFORMED TO DIRECTOR TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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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