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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411410
Report Date: 05/20/2024
Date Signed: 05/20/2024 01:38:15 PM

Document Has Been Signed on 05/20/2024 01:38 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:CIRCLE TIME CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434411410
ADMINISTRATOR/
DIRECTOR:		TANISHA BRAMEFACILITY TYPE:
850
ADDRESS:318 EL RANCHO VERDE DRIVETELEPHONE:
(408) 538-0200
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 22DATE:
05/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Tanisha BrameTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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On 5/20/24 around 10:30am Licensing Program Analyst (LPA) Sheena Chin conducted an unannounced Case Management inspection at the facility. LPA met with the director/owner, Tanisha Brame, and explained the purpose of the visit.

LPA observed that there was no trash cups on the ground but the door of the storage room remained broken. The director stated that a new shed would be installed. LPA advised the director that the due date for this citation would be tomorrow 5/21/24

LPA did not receive the UIR that the director shall submit by 5/17/24 as the plan of correction stated. The director stated that she has not submitted that UIR for lip laceration incident occurring on 9/19/23 and she did not have time to submit it during the inspections. The facility failed to correct the citation within 10 working days following the Plan Of Correction (POC) due date.

Exit interview was conducted, where this report, the citation, plan of correction, and appeal rights were reviewed and discussed with Licensee, Tanisha Brame.
Notice of Site Visit was given and must remain posted for 30 days.


SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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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