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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416499
Report Date: 11/16/2022
Date Signed: 11/16/2022 03:52:21 PM

Document Has Been Signed on 11/16/2022 03:52 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: 12CENSUS: 12DATE:
11/16/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Cindy TraidmanTIME COMPLETED:
04:10 PM
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Licensing Program Analyst (LPA) Mel Matos met with Cindy Traidman, Licensee, for an unannounced case management inspection. LPA also observed 12 day care children (4 infants & 8 preschool) and one adult assistant (Chaoyu Kawamura) in the home during today's inspection.

LPA reminded the Licensee to keep her infant sleep log current for all children under 2 years of age. Licensee states that she has an "Infant Sleep Observation Form" that she uses for the four infants currently in attendance at her day care.

Licensee states that the day care will be closed for the Thanksgiving holiday (November 24 & 25, 2022) and Christmas/New Year's holiday (December 26, 2022 to January 2, 2023).

Exit interview conducted and report was reviewed with Cindy Traidman, Licensee. No deficiencies issued during today's inspection. 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: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2022
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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