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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415226
Report Date: 12/09/2024
Date Signed: 12/09/2024 11:56:12 AM

Document Has Been Signed on 12/09/2024 11:56 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:SANCHEZ, ELIZABETHFACILITY NUMBER:
434415226
ADMINISTRATOR/
DIRECTOR:		SANCHEZ, ELIZABETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 509-1639
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 5DATE:
12/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Elizabeth SanchezTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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Licensing Program Analysts (LPAs) Deanna Villagrana and Pedro Solorio-Gutierrez met with licensee's assistant Mayra Gutierrez for a case management visit. LPAs explained the nature of the visit. Present were licensee's assistant, adult granddaughter and five day care children including one infant. Licensee was not present upon arrival but arrived during the visit.

LPAs did not observe the off-limits addition being used during visit. Children only passed through to access the backyard play area. Licensee states the plans were submitted to the City of San Jose and architect received notification stating they received. Licensee stated she will submit response from the city to LPM Susy Cervantes this evening once she receives from the architect. Licensee states they are planning on keeping the addition and understands the room may not be used until it is permitted and has and approved fire clearance.

No deficiency was cited.

A Notice of Site was issued and must remain posted for 30 days.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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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