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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416979
Report Date: 09/23/2022
Date Signed: 09/23/2022 01:38:07 PM

Document Has Been Signed on 09/23/2022 01:38 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: 29TOTAL ENROLLED CHILDREN: 23CENSUS: 10DATE:
09/23/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:18 AM
MET WITH:Neeru SharmaTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Janette Cruz met with Neeru Sharma, Infant Director, to conduct an unannounced Plan of Correction (POC) inspection. Purpose of today’s inspection: verify completion of the Plans of Correction resulting from the previous complaint inspection completed on 9/14/22. LPA toured indoor and outdoor areas of the facility. LPA observed 10 infants with 3 teachers and one teacher aid at the two licensed infant classrooms. LPA observed that the teacher/child ratio was in compliance during today's inspection.

The Facility was issued the Type A Deficiency :
CCR 101416.5(b)(1)(A)(B) Staff-Infant Ratio - On 9/8/22, facility was out of ratio for having 22 infants with only 3 teachers, 1 teacher aid and the director present at the facility.

LPA notes that plans of correction for Type A deficiency cited on 9/14/22 were submitted to LPA Cruz via email the same day.

LPA observed signed LIC9224 Acknowledgement of Receipt of Licensing Report in the children's files.

No deficiencies cited during today's inspection. An exit interview was conducted with Neeru Sharma, Infant Director.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2022
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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