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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417059
Report Date: 11/05/2024
Date Signed: 11/05/2024 10:08:12 AM

Document Has Been Signed on 11/05/2024 10:08 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:KIDANGO CESAR CHAVEZ EARLY LEARNING CENTERFACILITY NUMBER:
434417059
ADMINISTRATOR/
DIRECTOR:		JOSEFINA GARCIA MARQUEZFACILITY TYPE:
850
ADDRESS:2000 KAMMERER AVENUETELEPHONE:
(408) 901-8296
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 69DATE:
11/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Josefina GarciaTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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On 11/05/2024 at 8:35pm, Licensing Program Analyst (LPA) Martha Jimenez-Villanueva met with Director, Josefina Garcia and conducted an unannounced Case Management inspection in response to an unusual incident that was self reported by the facility to Licensing on October 24, 2024. The alleged incident occurred on October 23, 2024 involving one child (C1).

LPA toured the classroom 197 and interviewed one Staff (S1) and obtained copies of documents and contact numbers. The teacher involve in the incident is a Substitute Teacher and is not in campus today. The child has not back to the school since October 23, 2024.

LPA observed 17 children and three teachers in the playground area in classroom 197.

Director stated that child's mom did not attend a meeting on November 1, 2024 and schedule for November 4, 2024 but did not arrive and did not answer calls.

Further investigation is required. A follow up investigation will be conducted at a later date.

Exit interview conducted and the report was reviewed with the Director, Josefina Garcia. No deficiencies cited during today's investigation.

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

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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