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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430703788
Report Date: 06/08/2023
Date Signed: 06/08/2023 01:07:48 PM

Document Has Been Signed on 06/08/2023 01:07 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIARWOOD CHILDREN'S CENTER/STATE PRESCHOOLFACILITY NUMBER:
430703788
ADMINISTRATOR:STEPHANIE MASCIOCCHIFACILITY TYPE:
850
ADDRESS:1940 TOWNSEND AVE.,RMS25,26&27TELEPHONE:
(408) 423-1321
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: DATE:
06/08/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Whitney Lukanc TIME COMPLETED:
01:20 PM
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Licensing Program Analysts (LPA's) Anna Morales and Joe Macias conducted a Case Management/ Increase of Capacity Inspection. The purpose of today’s visit is to ensure the facility is in compliance with Title 22 California Code of Regulations. LPA's met with Program Specialist Whitney Lukanc, LPA's toured the Facility both inside and outside during todays inspection. LPA's bserved the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule.

Santa Clara County Unified School District recently submitted an application for the purpose of increasing the capacity of the facility. The current approved capacity is licensed for 88. The space required for the increase of capacity is the addition of the new Portable #30. The facility is requesting to provide care and supervision to 112 children.

Facility's operating days and hours are Monday to Friday 7:30 AM to 5:30 PM in Rooms 25, 26 (Summer schedule). Room 27 is used by the Briarwood State Preschool children only during school year August - first week of June. The room is not in use during the summer.Currently, the site is closed. Currently enrolled children will continue to receive services at Bracher Children Center,#43074133.
LPA's toured and measured the indoor and outdoor areas of the facility during today's inspection.

Indoor Activity Space:
In Classroom 25: 1,230.35-127.24(encumbered)=1,103.11sq ft. Classroom has three toilets and three sinks, and 17 mats
In Classroom 26: 1,458.8-106.83(encumbered)=1,351.75 sq ft. Classroom has four toilets and three sinks and 22 mats.
In Classroom 27 (State Preschool): 917.54-209.85(encumbered)=707.70 sq ft
In Classroom 30 (Portable): 897 sq ft -61.35(encumbered)=835.65 sq ft.
Total = 3,998.21 divided by 35=114 students

T
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: BRIARWOOD CHILDREN'S CENTER/STATE PRESCHOOL
FACILITY NUMBER: 430703788
VISIT DATE: 06/08/2023
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Outdoor Activity Space:
Preschool Playground: 155.417 x 75.583= 11,746.88
TOTAL OUTDOOR SPACE = 11,746.88 divided by 75 =156 children

The playground is surrounded by appropriate fencing. Shade is provided by the three mature trees and building awning. LPA's did not observe any bodies of water at the site. No transportation is provided

The facility has displayed the required indoor space for the requested increase of capacity to provide care and supervision for up to 112 children. LPA's observed fully charged 2A10BC fire extinguishers in every classrooms, and working smoke/carbon monoxide detectors.

Clearances for individuals at this facility who require caregiver background checks are issued by State Department and/or County Office of Education and do not come under the jurisdiction of Community Care Licensing Division. All staff have clearance through Santa Clara County Unified School District.

No deficiencies cited, exit interview conducted and the report was reviewed with the Whitney Lukanc. Application will be approved pending management approval and Granted Fire Clearance.

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

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC809 (FAS) - (06/04)
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