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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415215
Report Date: 07/18/2024
Date Signed: 07/18/2024 04:01:43 PM

Document Has Been Signed on 07/18/2024 04:01 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:LIDIA'S PRESCHOOL AND DAY CARE CENTERFACILITY NUMBER:
434415215
ADMINISTRATOR/
DIRECTOR:		ATKINS, MARIAFACILITY TYPE:
850
ADDRESS:637 CALERO AVENUETELEPHONE:
(669) 234-7886
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY: 18TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
07/18/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Maria AtkinsTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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Licensee Program Analysts (LPAs) Deanna Villagrana and Martha Jimenez-Villanueva met with licensee Maria for a plan of correction visit. LPAs explained the nature of the visit. Present were licensee, volunteer Patricia Cruz and 10 day care children.

Licensee was issued a citation for lack of supervision on 07/10/2024. LPAs did not observe LIC9224 in children's files. LPAs observed during visit, children were unsupervised several times during nap time. LPAs observed facility still had spider webs and had not been cleaned. Licensee failed to update roster of the children. LPAs did not obtain LIC613 for child 3, 4, and 5, LIC995 for child 5 and 12 and LIC702 for child 8. Licensee states child 1 stopped attending facility on 07/10/2024. LPAs contacted mother of child who stated child is still attending and will continue to be enrolled until 07/31/2024. Civil penalties were assessed during visit. Licensee was informed civil penalties will continue until all requested items are corrected.

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: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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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