<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414096
Report Date: 12/15/2023
Date Signed: 12/18/2023 10:37:56 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/18/2023 10:37 AM - 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:LEE, JUDY TRANGFACILITY NUMBER:
434414096
ADMINISTRATOR:LEE, JUDY TRANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 316-2270
CITY:SAN JOSESTATE: CAZIP CODE:
95138
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/15/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:54 PM
MET WITH:Judy Trang LeeTIME COMPLETED:
05:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 12/15/2023 at 3:54pm, Licensing Program Analyst (LPA), Farida Raja, arrived to conduct an unannounced Required - 3 year inspection. LPA was granted access to the home by Licensee, Judy Trang Lee, and explained the nature of today’s inspection. LPA did not observe any children in care and licensee states that she has not been in operation since the past 2 years. The adults that reside in the home are licensee and spouse. Licensee has two minor children residing in the home.

LPA explained the inactive process to licensee and informed her that she can be inactive and contact Child Care Licensing when she decides to be operational again. Licensee stated that she does not want to be inactive. LPA conducted the required annual inspection. LPA and licensee toured the indoor area of the facility. Licensee does not have the required forms posted since she is not caring for children at present. LPA observed that the backyard was under renovation during today's inspection. Licensee states that she only plans to care for school age children. Days and hours of operation are Monday to Friday, 2:40 pm to 6:00 pm. LPA observed working smoke detector and a fully charged 3A40BC fire extinguisher.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Continued on Page 2
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: LEE, JUDY TRANG
FACILITY NUMBER: 434414096
VISIT DATE: 12/15/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Licensee states that she provides transportation to children. LPA reminded Licensee that children cannot be left in parked vehicles unattended at any time, the motor vehicles used to transport children shall be maintained in safe operating conditions, and all vehicle occupants must be secured in an appropriate restraint system.

Licensee is encouraged to visit the Department’s website at https://cdss.ca.gov/inforesources/child-care-licensing to access general updates, resources for providers, regulations, adoptions of new laws, pay annual fees etc. Licensee stated that she wants to apply to reduce capacity to a small family child care home. LPA informed licensee of the required forms. Licensee stated that she will submit the required forms along with a request to reduce the capacity. Licensee does not have a current CPR/First Aid and Mandated Reporter Training as she is not providing care at this time. Licensee will complete both training's and submit certificate of completion along with the required reduction in capacity forms.

During the exit interview, licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Exit interview conducted and report was reviewed with the Licensee, Judy Trang Lee. Licensee is advised to inform the San Jose Regional Office before enrolling daycare children.

As a result of today's inspection, there were no deficiencies cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2