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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416499
Report Date: 03/16/2022
Date Signed: 03/16/2022 03:01:54 PM

Document Has Been Signed on 03/16/2022 03:01 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:TRAIDMAN, CINDYFACILITY NUMBER:
434416499
ADMINISTRATOR:CINDY TRAIDMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 393-7565
CITY:SUNNYVALESTATE: CAZIP CODE:
94085
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
03/16/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Cindy TraidmanTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Mel Matos met with Cindy Traidman, Licensee, for an unannounced case management inspection. Purpose of today's inspection: discuss an Unusual Injury that the Licensee self reported to the San Jose Child Care District Office.

Licensee states that the Unusual Injury occurred on March 10, 2022 at approximately 11:45 AM. Licensee states that one infant child, age 1.5 years, was walking on the sidewalk portion of the right side backyard when the child lost balance and fell down. Licensee states that the child hit the child's lower lip on the edge of a wooden chair and sustained a small cut to the lower lip area.

Licensee states that she tended to the child and also iced the child's lower lip. Licensee states that the child's lower lip was swollen as a result of the fall, but states that there was minimal bleeding. Licensee states that the child's grandfather picked up the child around 12 noon and the Licensee states that she advised the grandfather of the injury. Licensee states that the child did not require any medical attention and returned to the day care the following day. Licensee states that the child is still enrolled in the day care and is doing fine.

LPA toured the right side backyard area of the home with the Licensee during today's inspection and observed that the backyard area, including the wooden chairs, are safe and age appropriate for children.

No deficiencies issued during today's inspection. Exit interview conducted and report was reviewed with Cindy Traidman, Licensee. A notice of site visit was given and must remain posted adjacent to the main door for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2022
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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