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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444410798
Report Date: 08/26/2024
Date Signed: 08/26/2024 10:26:49 AM

Document Has Been Signed on 08/26/2024 10:26 AM - 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:STARLIGHT CHILDREN'S CENTERFACILITY NUMBER:
444410798
ADMINISTRATOR/
DIRECTOR:		ELIZABETH TAPIAFACILITY TYPE:
830
ADDRESS:360 ARTHUR ROADTELEPHONE:
(831) 724-3885
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 12DATE:
08/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Elizabeth TapiaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 08/26/24 at 09:45 AM., LPA Trujillo met with Site Director (SD) Elizabeth Tapia to amend a Report from a site visit on 08/22/24. Site Supervisors Estela Rodriguez and Lupita Garcia arrived during visit.

LPA amended the LIC 809 and LIC809-D dated 08/22/24. LIC 809 was corrected to reflect the correct water testing date of 07/25/24, and LIC 809-D was updated with correct CCR 101700.3(b)(2) section cited.


Exit interview conducted and report was reviewed with the facility representative Estela Rodriguez.

No deficiency was cited.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024
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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