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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400316
Report Date: 12/07/2023
Date Signed: 12/07/2023 04:23:27 PM

Document Has Been Signed on 12/07/2023 04:23 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:LITTLE SONSHINE SCHOOLHOUSEFACILITY NUMBER:
434400316
ADMINISTRATOR:SULLIVAN, YOLANDAFACILITY TYPE:
850
ADDRESS:16970 DEWITT AVENUETELEPHONE:
(408) 779-6788
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 53TOTAL ENROLLED CHILDREN: 39CENSUS: 12DATE:
12/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Partick Sullivan and Yolanda SullivanTIME COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Licensee Initiated inspection. LPA met with Licensee Partick and Yolando Sullivan and explained the reason for the inspection. The purpose of this inspection is Licensee is requested to remove Room 3 and add Room 2 to the license.

Measurements for Room 2 were conducted on 11/09/2023; along with Room 4, 5, 6, and 7. The measurements are as followed:
Room 2: (16.667 x 14.583 = 243.054) minus encumbered space 18.208 = 224.846
Room 4: (15.083 x 16.667 = 251.388) minus encumbered space 52.531 = 198.857
Room 5: (16.667 x 14.500 = 241.671) minus encumbered space 7.029 = 234.642
Room 6: (16.750 x 30.417 = 509.484) minus encumbered space 87.332 = 422.152
Room 7: (14.500 x 17.000 = 246.500) minus encumbered space 10.749 = 235.751

TOTAL INDOOR MEASUREMENTS: 1, 316.248 divided by 35 = 37 children

-------------------CONTINUES ON 809 DATED 12/07/2023 PAGE 2--------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: LITTLE SONSHINE SCHOOLHOUSE
FACILITY NUMBER: 434400316
VISIT DATE: 12/07/2023
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--------------CONTINUATION OF 809 DATED 12/07/2023 PAGE 1-------------

There are 44 chairs, eight (8) tables, 61 cubbies, 24 hooks, four (4) sinks, and four (4) toilets. Licensee stated that an updated LIC 200A with a change of capacity fee was mailed to the San Jose Regional office on 12/06/2023. An updated LIC 999A: Facility Sketch was already submitted to Licensing.

Licensee understands that upon change of capacity and updated fire clearance being obtained that an updated license to reflect the change of capacity will be issued.

No deficiencies were issued as a result of this inspection. Exit interview conducted and report was reviewed with Licensee Yolando Sullivan. 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: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC809 (FAS) - (06/04)
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