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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434407563
Report Date: 06/16/2020
Date Signed: 06/17/2020 05:44:34 PM

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:ABC LEARNING MONTESSORIFACILITY NUMBER:
434407563
ADMINISTRATOR:DIANA MANIXFACILITY TYPE:
850
ADDRESS:1115 KIMBERLY DRIVETELEPHONE:
(408) 448-4578
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:49CENSUS: 8DATE:
06/16/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Diana ManixTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Other. Due to COVID-19 and Shelter in Place order, a tele-inspection was conducted via Facetime. LPA met with Licensee Diana Manix and explained the reason for the inspection. The purpose of this inspection was to follow-up with Licensee in regards to training conducted for all staff on personal rights.

LPA toured the inside of the facility. LPA discussed with Licensee about personal right should not be violated. Licensee stated that she understood. Licensee conducted training for her staff on 06/10/2020. Licensee submitted the training notes and a list of staff who attended training to Licensing during today's inspection, 06/16/2020.

As a result of this inspection, no deficiencies have been cited. An exit interview was conducted where this report was discussed and emailed to Licensee Diana Manix. Licensee stated that she will confirm receipt of email within 24 hours.

A Notice of Site Visit has been issued and must be posted for 30 consecutive days.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2020
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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