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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416433
Report Date: 11/18/2024
Date Signed: 11/18/2024 12:05:54 PM

Document Has Been Signed on 11/18/2024 12:05 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:COMMUNITY FIRST SCHOOLFACILITY NUMBER:
434416433
ADMINISTRATOR/
DIRECTOR:		DIEU-MI LEFACILITY TYPE:
840
ADDRESS:1098 WEST REMINGTON DRIVETELEPHONE:
(408) 739-2022
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
11/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Dieu Mi LeTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analysts (LPAs), Janette Cruz and Harsimran Kaur conducted an unannounced case management inspection in response to a request for change of capacity from 24 to 45 school age children in classrooms 1 and 2. LPAs met with Dieu Mi Le, Director and explained to her purpose of today’s inspection. The school-age program currently serves children ages kindergarten to 12 years in room 1. The facility also has a licensed preschool program (# 434416196) on rooms 2,3,6,7,8 & 9 and infant program (#434416197) on rooms 4 & 5 within the same premises. The Facility received a fire safety inspection approval from the Sunnyvale Department of Public Safety for the change of capacity on 08/01/24. Hours of operation will be Monday to Friday 7:00 AM – 6:00 PM. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection. The facility has a total of 2 school-age classrooms (rooms 1 & 2). There were no school-age children present at the time of inspection.

School-age Classrooms measurements are:
The Indoor total measurements contain a total of {1654.79} square feet, which will accommodate Applicant's request for 45 school-age children.

School-age Outdoor Play measurements are:
Outdoor total measurements contain a total of {6766.74} square feet, which will accommodate Applicant’s request for 45 school-age children.

LPAs observed that items that may pose a danger to children were stored inaccessible to children. Furniture, such as tables and chairs are available for children. The facility has adequate number of toilets, sinks and supplies for the requested capacity. There are 3 sinks and 3 toilets designated for school-age children use. LPAs advised that toilet facilities shall not be used simultaneously by children of both sexes. Director submitted a plan for shared use of toilets between school age boys and girls to ensure individual privacy. LPAs observed outdoor activity space provided for school-age children is physically separated from space provided for preschool and infant children.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: COMMUNITY FIRST SCHOOL
FACILITY NUMBER: 434416433
VISIT DATE: 11/18/2024
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Based on today's inspection, LPAs determined that the facility's physical plant is in compliance with applicable Health & Safety Codes and Title 22 Regulations. A School Age License shall be issued upon review by the Licensing Program Manager.

An exit interview was conducted and a copy of appeal rights and this report was provided to the Dieu Mi Le, Director. No deficiencies issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC809 (FAS) - (06/04)
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