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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
434416978
Report Date:
11/07/2024
Date Signed:
11/08/2024 09:15:04 AM
Document Has Been Signed on
11/08/2024 09:15 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:
TULIP KIDS ACADEMY
FACILITY NUMBER:
434416978
ADMINISTRATOR/
DIRECTOR:
NEERU SHARMA
FACILITY TYPE:
850
ADDRESS:
6097 COTTLE ROAD
TELEPHONE:
(408) 483-8941
CITY:
SAN JOSE
STATE:
CA
ZIP CODE:
95123
CAPACITY:
58
TOTAL ENROLLED CHILDREN:
58
CENSUS:
32
DATE:
11/07/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:
Natasha Tolbert
TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst(LPA)Anna Morales conducted a Case Management visit to hand deliver an AMENDED REPORT created on 10/25/24. LPA was greeted by Director Natasha Toblert.
Exit interview was conducted with the Director. No deficiencies were cited at today's visit.
Notice of Site visit was issued and is to be posted for 30 days.
SUPERVISORS NAME
:
Gladys Kuizon
LICENSING EVALUATOR NAME
:
Anna Morales
LICENSING EVALUATOR SIGNATURE
:
DATE:
11/07/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/07/2024
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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