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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411122
Report Date: 01/17/2024
Date Signed: 01/17/2024 01:15:46 PM

Document Has Been Signed on 01/17/2024 01:15 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:CORTES, AMALFIFACILITY NUMBER:
434411122
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 2DATE:
01/17/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Amalfi CortesTIME COMPLETED:
01:25 PM
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Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Amalfi Cortes for a case management visit which licensee initiated. LPA explained the reason for the visit. Present were licensee, licensee's assistant Yessica Yescas and two day care children.

Licensee is requesting to move her day care from an unpermitted part of the home to another part of the home. The unpermitted area is going to be reconstructed to meet San Jose regulations regarding additions to homes. LPA observed the area that will be used is the living room immediately entering the home. The kitchen and unpermitted area will be barricaded an inaccessible to children. The bathroom children will use is located in living room area. LPA observed a barricaded fireplace in the living room. The area is clean, safe and secure for children. LPA informed licensee that living room is approved as of today.

No deficiency was cited.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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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