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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430710454
Report Date: 03/16/2023
Date Signed: 03/16/2023 12:20:50 PM

Document Has Been Signed on 03/16/2023 12:20 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:DISCOVERY YEARS, THEFACILITY NUMBER:
430710454
ADMINISTRATOR:AMPARO QUINTEROFACILITY TYPE:
850
ADDRESS:1411 PIEDMONT ROADTELEPHONE:
(408) 926-1234
CITY:SAN JOSESTATE: CAZIP CODE:
95132
CAPACITY: 23TOTAL ENROLLED CHILDREN: 23CENSUS: 7DATE:
03/16/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Amparo QuinteroTIME COMPLETED:
12:30 PM
NARRATIVE
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On 03/16/2023 at 11:00 AM, Licensing Program Analysts (LPAs) Susy Cervantes and Cynthia Tamayo, met with director, Amparo Quintero for a case management visit. Present were two teachers with 7 children in care.

During file reviews, LPAs observed that the owner, Hossein Akbari, did not have a file available for review at the facility. LPAs informed director and owner that a file needs to be available for review for all staff including administrators.

Type B deficiency was cited during today's visit. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the director, Amparo Quintero.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Susy Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 03/16/2023 12:20 PM - It Cannot Be Edited


Created By: Susy Cervantes On 03/16/2023 at 12:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: DISCOVERY YEARS, THE

FACILITY NUMBER: 430710454

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/27/2023
Section Cited
CCR
101217(d)

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Personnel Records 101217(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.
This requirement was not met as evidenced by:
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LPAs provided CCR 101217 to the owner and they will send a completed file to the San Jose Regional office by close of business on April 27, 2023.
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Based on record review the owner, Hossein Akbari, did not have a file at the facility for review. This poses a potential risk to the health and safety of the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mary Segura
LICENSING EVALUATOR NAME:Susy Cervantes
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023


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