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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274417167
Report Date: 07/09/2024
Date Signed: 07/09/2024 03:24:39 PM

Document Has Been Signed on 07/09/2024 03:24 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MISS MARGARITA'S CHILD DEVELOPMENT CENTERFACILITY NUMBER:
274417167
ADMINISTRATOR/
DIRECTOR:
MARGARITA RAMOSFACILITY TYPE:
860
ADDRESS:226 BEACH ROADTELEPHONE:
(831) 206-4333
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY: 47TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/09/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Margarita RamosTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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On 07/09/2024 at 2:00 PM, Licensing Program Analyst (LPA), Janette Cruz, conducted a scheduled informal meeting at the San Jose Regional Office with Applicant, Margarita Ramos, to review missing/corrections needed on the new application for a child care center license.

LPA discussed with Applicant the documents that need to be updated and submitted, including but not limited to LIC200, LIC 215, Board of Resolution, LIC 309, LIC308 LIC401, LIC403, LIC500, LIC 610, LIC501 corporation documents, financial information for the corporation, director qualifications, job descriptions, employee handbook, parent handbook, admission agreement, control of property, plan of operations, in order for the application to be complete. LPA gave Applicant a list of needed corrections for the application.

LPA reviewed with Applicant, the needed requirements for a preschool director. Applicant plans to assume the role of preschool director. Applicant was provided site director required document list and Applicant will need to submit completed director packet. Applicant will have 10 days from today's date to turn in all corrections/documents requested.

Exit interview conducted and report was reviewed with the Applicant, Margarita Ramos.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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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