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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416577
Report Date: 04/22/2024
Date Signed: 04/22/2024 09:45:48 AM

Document Has Been Signed on 04/22/2024 09:45 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:LITTLE TREE BILINGUAL MONTESSORIFACILITY NUMBER:
434416577
ADMINISTRATOR/
DIRECTOR:		AMANDA SHIHFACILITY TYPE:
860
ADDRESS:20111 STEVENS CREEK BLVD #150TELEPHONE:
(408) 996-3399
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 125TOTAL ENROLLED CHILDREN: 70CENSUS: 50DATE:
04/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Amanda ShihTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Janette Cruz met with Amanda Shih, Applicant representative, to conduct an unannounced case management. Purpose of visit is to amend report dated 03/27/24 reflecting correction on specific component of children served (toddlers). LPA observed artificial grass on toddler yard replaced and in compliance.

Exit interview conducted and report was reviewed with Amanda Shih, Applicant representative.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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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