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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416164
Report Date: 06/15/2023
Date Signed: 06/15/2023 02:02:26 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/15/2023 02:02 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:ROSENBERG, ELANAFACILITY NUMBER:
434416164
ADMINISTRATOR:ELANA ROSENBERGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 801-0840
CITY:SANTA CLARASTATE: CAZIP CODE:
95050
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Elana RosenbergTIME COMPLETED:
02:45 PM
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Licensing Program Analysts (LPA)Harsimran Kaur met with licensee, Elana Rosenberg, for annual inspection. Purpose of the inspection was explained. Present, there is licensee and her 2 children.

During the inspection, licensee informed the LPA that licensee decided to go inactive. LPA explained the procedures for going inactive status, if licensee wants to close for temporary time period. Licensee stated that licensee has decided to go inactive.

No deficiencies are cited today. The copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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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