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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444416295
Report Date: 04/27/2021
Date Signed: 04/27/2021 04:58:45 PM

Document Has Been Signed on 04/27/2021 04:58 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:SECRET GARDEN PRESCHOOL - APTOS, THEFACILITY NUMBER:
444416295
ADMINISTRATOR:LORENA ZAVALETAFACILITY TYPE:
850
ADDRESS:10707 SOQUEL DRIVETELEPHONE:
(831) 383-7414
CITY:APTOSSTATE: CAZIP CODE:
95003
CAPACITY: 29TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
04/27/2021
TYPE OF VISIT:Case Management - IncidentANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Olesya Kalinowska & Lorena ZavaletaTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA), Marilou Monico, conducted an announced Case Management inspection via Facetime due to Covid-19 pandemic. This is in response to an unusual incident that was reported to Licensing on April 15, 2021. The purpose of the tele-inspection was explained with Owner, Olesya Kalinowska, and Site Director, Lorena Zavaleta. Olesya was advised that this Facility Evaluation Report (LIC 809) will be emailed to her(thesecretgarden.lsp@gmail.com). Her reply to the email within 24 hours will serve as acknowledgement that the report was received.

Lorena guided LPA on a tour of the facility via Facetime as well as interviewed staff.

There were no deficiencies cited.

NOTICE OF SITE VISIT WAS ISSUED. OLESYA WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.
SUPERVISORS NAME: Anthony Studebaker
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2021
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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