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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416979
Report Date: 11/04/2021
Date Signed: 11/04/2021 08:19:49 PM

Document Has Been Signed on 11/04/2021 08:19 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:TULIP KIDS ACADEMYFACILITY NUMBER:
434416979
ADMINISTRATOR:NEERU SHARMAFACILITY TYPE:
830
ADDRESS:6097 COTTLE ROADTELEPHONE:
(408) 483-8941
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
11/04/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Neeru Sharam TIME COMPLETED:
02:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Stephanie Collins conducted unannounced Pre-Licensing inspection of the facility as a result of a request for an increase in capacity from 12 infants to 29 infants. LPA met with Tulip Kids Academy Center Owner/ Applicant Neeru Sharma. The Infant Center is located in Building 2. Tulip Kids Academy also has a Preschool located on the same property ( #434416978). The Center will operate Monday through Friday from 08:00 AM to 6:00 PM, serving children ages 0 month 2 yrs. of age. Facility's phone # (408) 622-8404 and (408) 859-6442. LPA previously measured that space during the pre-licensing inspection conducted on 8/25/2021. LPA will use the previous measurements to ensure that there is 35 square feet of indoor activity space per child based on the total licensed capacity. Indoor Activity space measurements are as follows:
Building 2 (Infant room)
= (Total sq. ft.) – (Encumbered Space)
= (704.55 sq. ft.) – (8.83 sq. ft.)
= 695.70 sq. ft.
Building #2 -Room #2
(17.92 sq. ft.) x (19.92 sq. ft.) – (5.32 sq. ft.)
= 351.646 sq. ft

Total Indoor Activity Space = (695.70 sq. ft.) + (351.646 sq. ft) = 1,047.346 sq. ft.
divided by (35 sq. ft. / child) = 29 children


SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2021
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TULIP KIDS ACADEMY
FACILITY NUMBER: 434416979
VISIT DATE: 11/04/2021
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Outdoor Activity Space Measurements are as follows:
Yard 1
= (Total sq. ft.) – (Encumbered Space) = (1,157.18 sq. ft.) – (14.92 sq. ft.)
= 1,142.26 sq. ft.
Total Outdoor Activity Space = (1,142.26sq. ft.) divided by (75 sq. ft. / child) = 15 children
Child Care Centers

Licensee [or facility representative] was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

The application will be submitted to licensing management for final review and approval following the receipt of pending documents.



1: Fire Inspection Request (STD 850) must be obtained prior to licensure.

Notice of Site Visit


A notice of site visit was given and must remain posted for 30 days.

Exit Interview
Exit interview conducted and report was reviewed with the licensee Neeru Sharma

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TULIP KIDS ACADEMY
FACILITY NUMBER: 434416979
VISIT DATE: 11/04/2021
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Outdoor Activity Space Measurements are as follows:
Preschool Main-Yard # 1
= (Total sq. ft.) – (Encumbered Space) = (13,884.48 sq. ft.) – (104.07 sq. ft.)
= 13,780. 41 sq. ft.
Preschool Yard # 2
(1,856.40 sq. ft.) – (52.22 sq. ft.)
=1,804.18 sq. ft.
Total Outdoor Activity Space = ( 15,584.59 ) divided by (75 sq. ft. / child) = 207 children
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC809 (FAS) - (06/04)
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