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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 354415951
Report Date: 12/20/2023
Date Signed: 12/20/2023 10:18:46 AM

Document Has Been Signed on 12/20/2023 10:18 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:HOLLISTER MONTESSORI SCHOOLFACILITY NUMBER:
354415951
ADMINISTRATOR:DEBORAH LYNN PARGAFACILITY TYPE:
850
ADDRESS:2300 SOUTHSIDE ROADTELEPHONE:
(408) 804-2930
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY: 30TOTAL ENROLLED CHILDREN: 26CENSUS: 21DATE:
12/20/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Brittany AllenTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPAs) Deanna Villagrana and Doni Fici met with Administrative Assistant Brittany Allen for a case management visit. LPAs explained the reason for the visit. LPAs observed one child in the bathroom with one teacher, one child with another teacher in a separate room and 19 children with two teachers in the main classroom. Owner/Director Debbie Parga was present in the classroom with children.

LPAs observed the bathroom facility is requesting to be licensed is clean and safe for children. The bathroom has one toilet, one urinal and one sink with cold running water. The bathroom was inspected by Hollister Fire Department on 03/08/2023 and approved for use. No additional children are being added on at this time.

Brittany was informed bathroom was approved as of today for children's use. No other deficiencies were cited during todays visit.

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: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2023
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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