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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416072
Report Date: 11/09/2023
Date Signed: 11/09/2023 02:16:15 PM

Document Has Been Signed on 11/09/2023 02:16 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:LIANG, YAN YINGFACILITY NUMBER:
434416072
ADMINISTRATOR:YAN YING LIANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 338-8422
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
11/09/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Yan Ying LiangTIME COMPLETED:
02:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Oscar Huang conducted an unannounced visit to the day care home for a Case Management inspection to amend an incorrect statement in the inspection report recorded on 09/14/2023 regarding caregiver background checks. LPA met with licensee, Yan Ying Liang and informed her of purpose of toady's inspection.

LPA observed that the facility was operating in compliance with capacity and ratio requirement during the inspection. Present were 11 children in care, of whom four were under two years old and three assistants who are fingerprint clearances and all have current CPR & First Aide certifications during LPA's inspection.

LPA inspected areas both indoor and outdoor the home. Children's files were also reviewed.

In the areas that were evaluated, no regulatory violations were observed at the time of the inspection.

No deficiency was cited. A notice of site visit was given and must remain posted for 30 days. The report was discussed and verbally translated into Chinese during the exit interview with Licensee, Yan Ying Liang.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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