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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410606
Report Date: 01/31/2025
Date Signed: 01/31/2025 03:46:01 PM

Document Has Been Signed on 01/31/2025 03:46 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:SAN ANTONIO HEAD STARTFACILITY NUMBER:
434410606
ADMINISTRATOR/
DIRECTOR:		GLADYS ENGFACILITY TYPE:
850
ADDRESS:1803 STOWE AVENUETELEPHONE:
(408) 573-4001
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 25DATE:
01/31/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Gladys EngTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA) Kate Huang and Licensing Program Manager (LPM) conducted an unannounced Case Management inspection to follow up on an Unusual Incident that was reported by the facility to Licensing on 1/13/25. LPA and LPM was greeted by Gladys Eng, director of the school.

Based on incident report, on 01/13/2025, a parent informed a staff that their child (C1) was kissed by another child (C2). Director conducted an internal investigation and she stated that no teacher observed this incident.

LPA and LPM toured the classroom 1, interviewed staff, and reviewed C1 and C2's files. LPA and LPM observed 11 children and 2 teachers in the classroom 1. C1 and C2 were observed in circle time. No inappropriate interactions were observed. Classroom is setup where teachers can observe children in all areas of the classroom.

LPA and LPM obtained a copy of children's roster and teachers' names.

Exit interview was conducted with Gladys Eng, director of the school. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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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