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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
434413201
Report Date:
01/17/2024
Date Signed:
01/18/2024 08:26:48 AM
Document Has Been Signed on
01/18/2024 08:26 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:
CHILDREN'S WORLD BILINGUAL MONTESSORI
FACILITY NUMBER:
434413201
ADMINISTRATOR:
YU-CHIEH HSIUNG
FACILITY TYPE:
850
ADDRESS:
820 KIELY BLVD
TELEPHONE:
(408) 247-8600
CITY:
SANTA CLARA
STATE:
CA
ZIP CODE:
95051
CAPACITY:
60
TOTAL ENROLLED CHILDREN:
60
CENSUS:
49
DATE:
01/17/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
02:00 PM
MET WITH:
Michelle Hsiung
TIME COMPLETED:
03:00 PM
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Licensing Program Analysts(LPA) Anna Morales conducted a Case Management visit to hand deliver an AMENDED REPORT for 12/13/23.
LPA met with Director Michelle Hsiung and explained the purpose of this visit.
No deficiencies cited during today's visit.
SUPERVISORS NAME
:
Gladys Kuizon
LICENSING EVALUATOR NAME
:
Anna Morales
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/17/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/17/2024
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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