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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417059
Report Date: 11/25/2024
Date Signed: 11/25/2024 10:03:46 AM

Document Has Been Signed on 11/25/2024 10:03 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: 55DATE:
11/25/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Lizbeth Vargas TIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Martha Jimenez-Villanueva meet with Lizbeth Vargas (Assistant Director) to follow up on the Case Management dated November 5th, 2024, for an Incident Report self reported on October 24, 2024 involving child Luna Mecino Rojo (DOB 09/03/2019).

LPA toured Classroom 197 and the total of 11 children were in care and 3 teachers. Veronica Hernandez (Teacher) informed and showed assistant list and the child has not been returned to the school since the event. AD provided the last contact with mom on November 7, and LPA reviewed Assistance list for November with no show from child.

LPA concluded this investigation for lack of evidence, and closed this Incident.

Exit interview conducted and the report was reviewed with the Assistant Director Lizbeth Vargas. 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: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2024
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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