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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416366
Report Date: 01/13/2023
Date Signed: 01/13/2023 01:26:25 PM

Document Has Been Signed on 01/13/2023 01:26 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:L'ACADEMY LANGUAGE IMMERSION PRESCHOOL SCFACILITY NUMBER:
434416366
ADMINISTRATOR:SIQI LIFACILITY TYPE:
830
ADDRESS:351 SARATOGA AVENUETELEPHONE:
(408) 916-7536
CITY:SANTA CLARASTATE: CAZIP CODE:
95050
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
01/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Siqi LiTIME COMPLETED:
01:40 PM
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On 1/13/2023 at 12:25 PM, Licensing Program Analyst (LPA), Harsimran Kaur met with Director Siqi Li for a follow up increase of capacity inspection. The purpose of the visit was to inspect front entrance gate is closing properly. Present was Director and 6 staff, 3 infants.

LPA toured the outside of the facility. LPA inspected the gate has to pulled toward the front yard and uses crash bar to lock. Director showed there is a key string attached to the latch so parents can open gate from outside. LPA observed no bodies of water and the fence surrounds the entire front yard.
LPA advised licensee that the request for an increase of capacity will be issued pending Management Approval.

Based on today's inspection, no deficiencies were observed in the areas evaluated according the Title 22 Division 12 CA. Code of Regulations. Exit interview was discussed with Director and her signature of this form acknowledges receipt of these documents.
This report and rights to comment were discussed. This report must be available in the facility for public review. Notice was given and must remain posted for 30 days. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 408/324/2148 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2023
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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