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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408763
Report Date: 05/08/2024
Date Signed: 05/08/2024 01:18:22 PM

Document Has Been Signed on 05/08/2024 01:18 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BOWERS CHILD DEVELOPMENT INFANT PROGRAMFACILITY NUMBER:
434408763
ADMINISTRATOR/
DIRECTOR:		ROSALINDA FLORESFACILITY TYPE:
830
ADDRESS:2755 BARKLEY AVENUETELEPHONE:
(408) 423-1115
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 12TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
05/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Daisy MaciasTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Mel Matos met with Daisy Macias, Director, for an unannounced case management inspection. The program is licensed in Room 23 on the campus of Bowers Elementary School.

LPA observed five infant children with three staff during today's inspection. LPA interviewed one staff during today's inspection.

Exit interview conducted and report was reviewed with the Director, Daisy Cano. No deficiencies issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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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