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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202199
Report Date: 07/30/2024
Date Signed: 07/30/2024 04:03:52 PM

Document Has Been Signed on 07/30/2024 04:03 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:SCHLOSSER HOMEFACILITY NUMBER:
435202199
ADMINISTRATOR/
DIRECTOR:		APRIL MAIMONFACILITY TYPE:
735
ADDRESS:3314 LYNN OAKS DR.TELEPHONE:
(408) 352-5317
CITY:SAN JOSESTATE: CAZIP CODE:
95117
CAPACITY: 6CENSUS: 6DATE:
07/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:10 PM
MET WITH:Administrator April MaimonTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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Licensing Program Analyst Manuel Monter conducted an unannounced case management-other visit. LPA met with Administrator (ADM) April Maimon. LPA explained the purpose of the visit.

LPA conducted a case management visit, to tour the facility inside and out regarding the change of capacity request. LPA inspected the additional storage area in the 2nd story of the home. LPA also observed sections of the second story home, directly above the garage.

ADM stated the sections of the home in question are above the garage. ADM stated the area above the garage has been the same since the original license of the home.

No deficiencies cited during today's visit. This report was reviewed with ADM April Maimon. A copy of the report was provided.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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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