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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416366
Report Date: 09/16/2022
Date Signed: 09/16/2022 11:44:52 AM


Document Has Been Signed on 09/16/2022 11:44 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:L'ACADEMY LANGUAGE IMMERSION PRESCHOOL SCFACILITY NUMBER:
434416366
ADMINISTRATOR:HELENA GENGFACILITY TYPE:
830
ADDRESS:351 SARATOGA AVENUETELEPHONE:
(408) 916-7536
CITY:SANTA CLARASTATE: CAZIP CODE:
95050
CAPACITY:8CENSUS: 0DATE:
09/16/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Zhen Zhen Li and Selene Siqi LiTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA), James Santos and Regional Manager (RM), Tony Studebaker arrived at the facility today to conduct a follow up pre-licensing inspection and met with Applicant Representative, Zhen Zhen Li and Director, Selene Siqi Li.

Applicant Representative contacted RM on 9/15/2022 stating that all physical plant repairs have been completed. LPA and RM completed the inspection of the facility today and confirmed all the repairs have been completed. The pond was also inspected and was observed to be filled with dirt and is no longer a hazard.

Per RM, license will be approved for 8 infants and will be effective on 9/16/2022.


Exit interview conducted and report was reviewed and a copy was provided with Applicant Representative, Zhen Zhen Li.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: James G SantosTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2022
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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