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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700562
Report Date: 06/19/2023
Date Signed: 06/19/2023 03:36:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/19/2023 03:36 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ABC PRESCHOOL & DAYCAREFACILITY NUMBER:
015700562
ADMINISTRATOR:MALHOTRA, ANUPAMAFACILITY TYPE:
840
ADDRESS:20135 SAN MIGUEL AVENUETELEPHONE:
(408) 839-5669
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 20TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gireesh MalhotraTIME COMPLETED:
03:45 PM
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On 06/19/2023 at 9:00am, Licensing Program Analyst (LPA) Christina Uribe conducted an Unannounced Annual Required Inspection. LPA met with Facility Representative, Gireesh Malhotra. The School Age component of this facility is not being used by the licensee as there are no school aged children enrolled to attend. Furthermore, the facility has not yet made a designated area for the school aged program. All classrooms available are being dedicated and used for the preschool component.

At the time of the inspection, due to the facility not utilizing the school aged component, the following were not reviewed:

* Children's Files: Were not reviewed because no school aged children are or have been enrolled.

* Staff Files: There are no school aged staff members present during today's inspection.

* Physical Plant: There are no areas of the facility that are designated to the school aged program due to not yet enrolling school aged children to attend. All areas of the facility are being used by the preschool component. Please see LIC 809 for Preschool Component Evaluation Report for relevant information.

Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Facility Representative, Gireesh Malhotra.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2023
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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