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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415153
Report Date: 07/21/2022
Date Signed: 07/21/2022 04:21:23 PM

Document Has Been Signed on 07/21/2022 04:21 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:7 MAGIC FLOWERS BILINGUAL MONTESSORI PRESCHOOLFACILITY NUMBER:
434415153
ADMINISTRATOR:CHIN-LAN WANGFACILITY TYPE:
850
ADDRESS:1975 CAMBRIANNA DRIVETELEPHONE:
(408) 493-3574
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY: 117TOTAL ENROLLED CHILDREN: 117CENSUS: 88DATE:
07/21/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Li-Fan Mock and Chin-Lan WangTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA), James Santos arrived at the facility today for the continuation of the annual inspection. LPA met with Licensee, Li-Fan Mock and Director, Chin-Lan Wang.

LPA reviewed children's files. Children's records reviewed include Admission Agreement, Identification and Emergency Contact, Consent for Emergency Medical Treatment form, receipt of Parent Rights Notice, Personal Rights Notice, Physician's Report and Immunization Record.

LPA reviewed staff files. Staff records reviewed include Criminal Record Clearance, Statement Acknowledging Requirement to report Child Abuse, Immunization Record, CPR/First Aid, Mandated Reported Training, Qualifications and Education. Per review of record, the center conducts emergency disaster drills monthly.

Licensee and Director were reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Care providers are encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Regulations, Online option to pay Annual License fee, Adoption of new Laws, etc.



No deficiencies cited. Exit interview conducted and report was reviewed with Licensee and Director. A copy of the report was provided.


NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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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