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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430709802
Report Date: 02/05/2025
Date Signed: 02/05/2025 03:27:38 PM

Document Has Been Signed on 02/05/2025 03:27 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:OCHOA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
430709802
ADMINISTRATOR/
DIRECTOR:		PATRICIA KEITHFACILITY TYPE:
830
ADDRESS:902 ARIZONA CIRCLETELEPHONE:
(408) 842-2201
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 5DATE:
02/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Chavez, PerlinaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 2/5/2025, at 12:45 PM, Licensing Program Analyst (LPA) Liridon Fici- Doni arrived unannounced to conduct a case management inspection. LPA was greeted by Director, Chavez, Perlina and explained the purpose of the visit. The department received an incident report, dated for 1/29/2025. Upon arrival, LPA observed five (5) children and three (3) staff during today’s inspection.

During inspection, LPA interviewed four (4) staff regarding an incident that occurred on 1/23/2025. Staff mentioned on 1/23/2025, a child was opening the front door and Staff 2 (S2) immediately stopped the door with her foot preventing the door from closing on three (3) children. While S2 was moving the children away from the door, child 1 (C1) walked behind S2 unknowingly and placed his right hand inside the door hinge. S2 than removed her foot, not knowing C1 was behind her, and the door slammed on his hand, resulting in an injury. Directors and parents were informed, and first aid was applied. There were three (3) staff, and six (6) children present on 1/23/2025. LPA observed the center was in-compliance to Title-22 ratio regulation during today's inspection.

No deficiencies cited during visit.

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




Exit interview conducted with Director, and this report reviewed and provided.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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