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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400480
Report Date: 08/10/2021
Date Signed: 08/10/2021 11:50:27 AM

Document Has Been Signed on 08/10/2021 11:50 AM - 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:POMEROY DISTRICT PRESCHOOLFACILITY NUMBER:
434400480
ADMINISTRATOR:AUDREY RANDAZZOFACILITY TYPE:
850
ADDRESS:1250 POMEROY AVE. RM #21 & 34TELEPHONE:
(408) 423-3817
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 44TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/10/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Richard CoriaTIME COMPLETED:
12:08 PM
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Licensing Program Analysts (LPA's) Anna Morales and Pete Hernandez conducted an Announced Scheduled Case Management visit and was greeted by Site Director Richard Coria. The purpose of this visit was to measure the new playground which will be used exclusively for the POMEROY DISTRICT PRESCHOOL. Outdoor space is more than adequate for the number of children in care for the purposes of this inspection report. LPA's toured and measured the outdoors of the Facility during today's inspection.

INDOOR MEASUREMENTS ARE AS FOLLOWS:
=(Total sq. ft)- (Total Encumbered Space)
(65x58.667)=3,813.355 minus (encumbered 12.250 x 10.33) = 126.579
(3,813.355-126.579) = 3686,756

Total Outdoor Activity Space: 3686,756 divided by 75 = 49 Preschool children (page one)
The Outdoor Activity Space can accommodate a maximum total of 49 children but the current license capacity is limited at 44.

Current license capacity will not change as a result of this inspection of the outdoor space.

No deficiencies cited during today's visit.

An exit interview was conducted with Director Richard Coria. Upon approval by Licensing Management, the exclusive preschool added playground of the preschool child care center will be approved for use for the Licensee.
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2021
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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