<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400069
Report Date: 03/08/2023
Date Signed: 03/08/2023 12:50:01 PM

Document Has Been Signed on 03/08/2023 12:50 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SCHOLARS ACADEMYFACILITY NUMBER:
434400069
ADMINISTRATOR:ARSHIA ALIFACILITY TYPE:
850
ADDRESS:3703 SILVER CREEK ROADTELEPHONE:
(408) 238-2500
CITY:SAN JOSESTATE: CAZIP CODE:
95121
CAPACITY: 167TOTAL ENROLLED CHILDREN: 167CENSUS: 68DATE:
03/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Arshia AliTIME COMPLETED:
01:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Janette Cruz, conducted an unannounced follow-up case management inspection today to deliver an amended report on a licensee-initiated case management inspection dated 02/22/2023.

An exit interview was conducted with Director, Arshia Ali

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1