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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430756196
Report Date: 10/01/2024
Date Signed: 10/01/2024 05:26:17 PM

Document Has Been Signed on 10/01/2024 05:26 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:MARQUEZ, CAROLFACILITY NUMBER:
430756196
ADMINISTRATOR/
DIRECTOR:		MARQUEZ, CAROLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 274-7488
CITY:SAN JOSESTATE: CAZIP CODE:
95148
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Carol MarquezTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On 10/01/2024 at 3:15pm, Licensing Program Analysts (LPAs), Farida Raja and Linke 'Kate' Huang conduced an unannounced case management inspection to follow up with Licensee regarding the expiration of inactive status and overdue annual fees. LPAs met with Licensee, Carol Marquez and informed her of the purpose of today's inspection.

Licensee stated her intent to close the facility license and provided LPAs with a copy of the original facility license. Licensee is not providing any care to children at this time. Licensee stated that she stopped caring for children around 08/2021. Licensee stated that she will submit a letter to the Department regarding her overdue annual fees. Licensee has overdue fees in the amount of $210.00 as of 10/01/2024.

No deficiencies were cited as a result of today's inspections. Exit interview conducted and a copy of the report was provided to Licensee, Carol Marquez.

A NOTICE OF SITE VISIT WAS ISSUED.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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