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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434406756
Report Date: 12/16/2024
Date Signed: 12/16/2024 10:14:27 AM

Document Has Been Signed on 12/16/2024 10:14 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KIDANGO HUBBARD CENTERFACILITY NUMBER:
434406756
ADMINISTRATOR/
DIRECTOR:		JACKELIN SOLORIOFACILITY TYPE:
850
ADDRESS:1680 FOLEY AVENUETELEPHONE:
(408) 353-0559
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY: 40TOTAL ENROLLED CHILDREN: 42CENSUS: 13DATE:
12/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:08 AM
MET WITH:Leanne Rafanan AcobaTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
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Licensing Program Analyst (LPA) Mandeep Kaur, met with lead teacher, Leanne Rafanan Acoba explained the purpose of the inspection: Case Management- Incident inspection, that was self reported on 12/11/2024.

During today's inspection, LPA interviewed five (5) staff and attempted to interview child (C1). LPA reviewed two (2) staff files for teachers qualification.

Child Care Facility roster and attendance sheets for Room 82 and Room 83 were obtained during today's inspection.

Further investigation is required and the inspection is thus CONTINUING. LPA advised lead teacher that they will reach out for additional details/information regarding this inspection.

No deficiencies issued during todays inspection. Exit interview conducted, report was reviewed with Lead teacher, Leanne Rafanan Acoba and copy is provided.

A NOTICE OF SITE VISIT HAS BEEN GIVEN AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 12/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2024
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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