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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417130
Report Date: 12/18/2024
Date Signed: 12/18/2024 07:55:30 PM

Document Has Been Signed on 12/18/2024 07:55 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ASAVARI INC. - VALLEY OAK MONTESSORIFACILITY NUMBER:
434417130
ADMINISTRATOR/
DIRECTOR:		VARSHA KUMARFACILITY TYPE:
850
ADDRESS:4868 SAN FELIPE ROAD, #130,110TELEPHONE:
(408) 250-7408
CITY:SAN JOSESTATE: CAZIP CODE:
95135
CAPACITY: 87TOTAL ENROLLED CHILDREN: 72CENSUS: 49DATE:
12/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:35 PM
MET WITH:Varsha KumarTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
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On 12/18/2024 at 2:40pm, Licensing Program Analyst (LPA), Farida Raja conducted an unannounced case management inspection to deliver an amended report. LPA met with Director, Varsha Kumar and explained the purpose of the visit.

LPA provided Director with the amended report for the annual inspection conducted on 11/19/2024. LPA obtained the original report.

Exit interview conducted with Director, Varsha Kumar.

A notice of site visit was issued and remain posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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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