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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415118
Report Date: 09/19/2024
Date Signed: 09/26/2024 04:06:35 PM

Document Has Been Signed on 09/26/2024 04:06 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:KIDANGO RYANFACILITY NUMBER:
434415118
ADMINISTRATOR/
DIRECTOR:		CHARI PLUMERIFACILITY TYPE:
850
ADDRESS:1241 MCGINNESS AVENUETELEPHONE:
(408) 429-2682
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 11DATE:
09/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:25 PM
MET WITH:Chari PlumeriTIME VISIT/
INSPECTION COMPLETED:
04:55 PM
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Licensing Program Analysts(LPA's) Anna Morales and Shine Yu conducted an Unannounced Case Management Inspection in response to an Unusual Incident that was self reported by the facility to Licensing on September 16, 2024. LPA's met Site Director Chari Plumeri and observed Two staff with 11 preschool aged children engaging in activities.

Site Director stated that on September 13, 2024, an incident was reported(to her), approximately at 3:15pm, involving one of the 15 children, and one of the four staff who were present that day.

Site Director stated that they are in the process of investigating this incident, and are shadowing the involved staff until the investigation has been resolved.

Site Director stated that she will contact Licensing once the investigation has been resolved.

No Deficiencies were cited at today's visit.

Notice of Site Visit was issued and is to be posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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