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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411410
Report Date: 01/24/2023
Date Signed: 01/24/2023 02:53:29 PM

Document Has Been Signed on 01/24/2023 02:53 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CIRCLE TIME CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434411410
ADMINISTRATOR:TANISHA BRAMEFACILITY TYPE:
850
ADDRESS:318 EL RANCHO VERDE DRIVETELEPHONE:
(408) 538-0200
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 19DATE:
01/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Tanisha BrameTIME COMPLETED:
03:00 PM
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On 1/24/2023 Licensing Program Analyst (LPA), Stephanie Collins conducted an unannounced case management inspection in response to unusual incident that the facility self reported to Community Care Licensing (CCL) on December . LPA met with the Director Tansha Brame and explained the nature of today's inspection. LPA interviewed staff (Carmen Popoca) during to today's visit.

This inspection was made to obtain any additional information and to inquirer about the status/progress C1 and the Plan of Action the preschool and C1's guardian discussed and the preschool initiated. Director and staff reports the Plan of Action is currently in progress and they are moving forward, the reward system has been cut back to the end of the day in an effort to reenforce positive behavior.

During today's inspection LPA Collins interviewed staff, and obtained copies of pertinent information.


No deficiencies cited, exit interview conducted, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2023
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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