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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430701361
Report Date: 05/17/2024
Date Signed: 05/17/2024 10:00:56 PM

Document Has Been Signed on 05/17/2024 10:00 PM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ACTION DAY NURSERYFACILITY NUMBER:
430701361
ADMINISTRATOR/
DIRECTOR:		BATE, STEPHANIEFACILITY TYPE:
850
ADDRESS:2146 LINCOLN AVENUETELEPHONE:
(408) 266-8952
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY: 154TOTAL ENROLLED CHILDREN: 154CENSUS: 113DATE:
05/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:01 PM
MET WITH:Smriti Datta, Nicole Hughes, and Lucy NunezTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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Licensing Program Analysts (LPAs) Samantha Yip and Jennifer Beehler conducted an unannounced Case Management-Other inspection. LPA met with Site Director, Smriti Datta, and explained the reason for the inspection. LPA also met with Regional Manager, Nicole Hughes, and Site Supervisor, Lucy Nunez.

During today's inspection, LPAs reviewed admission agreement and bus permission form. LPA observed there is an optional service for children to be transported from the elementary school to the center. There is also a bus permission form that states that the the parent understands that they will contact the elementary school for any changes. There is no communication between the parent, elementary school, or the center regarding any changes to schedule, such as not needing transportation or being absent.

LPA also interviewed staff, who stated that all communication regarding changes to whether a child needs bussing is done through the elementary school. LPA discussed with staff that a new policy has been implemented that required parents to sent a written email to both the elementary school and the center for any changes to schedule.

Facility will submit to Licensing by 05/24/2024:
- updated policy submitted to parents regarding notification of change in schedule

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with Regional Manager, Nicole and Director, Smriti. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024
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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