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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270710326
Report Date: 08/01/2024
Date Signed: 08/01/2024 11:48:46 AM

Document Has Been Signed on 08/01/2024 11:48 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:APPLE PIE SCHOOLFACILITY NUMBER:
270710326
ADMINISTRATOR/
DIRECTOR:		VICKI BRIESACKERFACILITY TYPE:
850
ADDRESS:CA 1 AT CAPTAIN COOPER SCHOOLTELEPHONE:
(831) 667-2921
CITY:BIG SURSTATE: CAZIP CODE:
93920
CAPACITY: 13TOTAL ENROLLED CHILDREN: 13CENSUS: 0DATE:
08/01/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Laura DunnTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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Licensing Program Analysts (LPAs), Andrea Cortez, and Marilou Monico met with Program Director, Laura Dunn for the purpose of a case management inspection in response to licensee's request for a change of capacity from 13 to 20 children and to measure portable classroom. The classroom was replaced due to a tree falling onto the classroom, making it inaccessible to children and staff.

LPAs toured the facility and observed the classroom was not set up therefore LPAs cannot measure for capacity.

During today's inspection Program Director completed the Application for a Child Care Center LIC200A to change capacity to 20.

As a result of todays inspection, no deficiency cited

Exit interview conducted and the report was reviewed with Program Director, Laura Dunn.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2024
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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