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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
430704133
Report Date:
09/18/2024
Date Signed:
09/18/2024 04:18:06 PM
Document Has Been Signed on
09/18/2024 04:18 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 CC RO
,
2580 N FIRST STREET, STE. 300
SAN JOSE
,
CA
95131
FACILITY NAME:
BRACHER CHILDREN'S CENTER
FACILITY NUMBER:
430704133
ADMINISTRATOR/
DIRECTOR:
WHITNEY LUKANC
FACILITY TYPE:
850
ADDRESS:
2401 BOWERS AVENUE
TELEPHONE:
(408) 423-1228
CITY:
SANTA CLARA
STATE:
CA
ZIP CODE:
95051
CAPACITY:
80
TOTAL ENROLLED CHILDREN:
80
CENSUS:
11
DATE:
09/18/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:
Kim Cuc Vo/Head Teacher
TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Anna Morales conducted a Case Management to hand deliver an Amended Report (LIC809) that was created on 9/9/24.
LPA Anna Morales met with Kim Cuc Vo who signed this report.
No citations were issued at today's visit.
SUPERVISORS NAME
:
Gladys Kuizon
LICENSING EVALUATOR NAME
:
Anna Morales
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/18/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/18/2024
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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of
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