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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415786
Report Date: 10/24/2023
Date Signed: 10/24/2023 04:42:01 PM

Document Has Been Signed on 10/24/2023 04:42 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:FOOTSTEPS PRESCHOOLFACILITY NUMBER:
434415786
ADMINISTRATOR:LISA SERNAFACILITY TYPE:
850
ADDRESS:8335 CHURCH STREETTELEPHONE:
(408) 842-7269
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 16DATE:
10/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:58 PM
MET WITH:Tiffany LorenzoTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Other inspection. LPA met with Assistant Director, Tiffany Lorenzo, and explained the reason for the inspection. The purpose of this inspection is to provide the amended 809 report dated 10/11/2023 page 1 and page 2 to reflect the correct measurement and to check the temperature of the sinks in the restrooms located next to the 2 years old room.

During today's inspection, LPA checked the temperature of the sinks in the restrooms located next to the 2 years old room. The temperature of the sinks measured between 100 to 110 Fahrenheit. The center understands that the temperature of the water cannot exceed 120 degrees Fahrenheit.

No deficiencies were issued as a result of this inspection. Exit interview conducted and report was reviewed with Assistant Director, Tiffany Lorenzo. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023
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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