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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417078
Report Date: 04/12/2023
Date Signed: 04/12/2023 03:29:31 PM

Document Has Been Signed on 04/12/2023 03:29 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:TODDLER TOWNFACILITY NUMBER:
434417078
ADMINISTRATOR:SARAH VAZQUEZFACILITY TYPE:
830
ADDRESS:6920 ALMADEN EXPRESSWAYTELEPHONE:
(408) 622-8523
CITY:SAN JOSESTATE: CAZIP CODE:
95120
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/12/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Sarah VazquezTIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Marilou Monico met with Site Director, Sarah Vazquez, and conducted a Prelicensing Inspection to move the isolation area for sick children. LPA toured the facility. The new isolation area is located in a space adjacent to the kitchen and close to the staff bathroom. Isolation equipment will be provided by the facility. Sick children will use the staff bathroom if needed and will be accompanied by a staff member. Site Director understands that sick children in isolation shall be supervised by staff. LPA obtained an updated facility sketch during the inspection.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2023
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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