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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417023
Report Date: 01/11/2022
Date Signed: 01/12/2022 09:47:11 AM

Document Has Been Signed on 01/12/2022 09:47 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:WONDER STEPS PRESCHOOLFACILITY NUMBER:
434417023
ADMINISTRATOR:JETALBEN PATELFACILITY TYPE:
850
ADDRESS:15063 UNION AVENUETELEPHONE:
(408) 594-9812
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
01/11/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Jetalben PatelTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Dung Mac conducted an announced follow up Pre-licensing inspection to the facility today. The initial pre-licensing inspection was completed on December 14, 2021. The Applicant was advised of the following items that needed to be completed prior to a follow-up inspection:
1) At least 5 foot fence to be installed in the area of the swimming outside the windows facing the swimming pool.
2) Barricade the area separating the off limit kitchen to the Toddler/Preschool Classroom.

LPA inspected indoor and playground area with the Applicant during today's inspection.
Applicant states that daycare children will not be allowed to use the swimming pool.

LPA note that the following items have completed/observed during today's inspection:
1) The kitchen is barricaded.
2) At least 5 feet fence was installed in front of the garage windows. The left end of the fence is close. The right end is connected to the pool gate. The pathway from the wall/windows of the garage to the fence was measured 5 feet.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Dung Mac
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2022
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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