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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416230
Report Date: 09/19/2024
Date Signed: 09/20/2024 09:52:25 AM

Document Has Been Signed on 09/20/2024 09:52 AM - 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:SJB-FOOTHILL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434416230
ADMINISTRATOR/
DIRECTOR:		ANN-MARIE LEMMERMANFACILITY TYPE:
830
ADDRESS:230 PALA AVENUETELEPHONE:
(408) 928-5223
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 18DATE:
09/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Annie Lemmerman, Site DirectorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analysts(LPA's)Anna Morales and Shine Yu conducted an Unannounced Case Management inspection and were greeted by Annie Lemmerman, Site Director. The purpose of this inspection is to observe the main water supply that provides drinking water and water for food preparation for the center.

LPA's toured the classrooms and the kitchen. Inside the kitchen, LPA's observed two sinks. Site Director stated that the sink(closest to the dishwasher)is used for things such as washing dishes, and the other sink(opposite side of refrigerator) is used as the main
water source for food preparation and consuming for both the Toddler and the Preschool(434416231). For the Toddler Classroom, Site Director stated that the staff fill water from this sink into water pitcher and place inside the classroom.

Site Director stated that they obtained 5 gallon water containers from a Water Company,
and one of the containers is placed inside a water dispenser in the Infant classroom. LPA's observed two five gallon water bottles inside the kitchen, and observed the water dispenser inside the infant classroom. Site Director stated that this water is used for preparing the infants cereal and bottles.

LPA's observed the water pitchers inside the classroom(s) and disposable drinking cups accessible for children's use.

No deficiencies were issued during today's visit. Exit interview was conducted with Annie Lemmerman, Site Director.
Notice of Site visit was issued and to be posted for thirty 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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