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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416196
Report Date: 11/18/2024
Date Signed: 11/18/2024 12:09:20 PM

Document Has Been Signed on 11/18/2024 12:09 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:COMMUNITY FIRST SCHOOLFACILITY NUMBER:
434416196
ADMINISTRATOR/
DIRECTOR:
LE, DIEU-MIFACILITY TYPE:
850
ADDRESS:1098 WEST REMINGTON DRIVETELEPHONE:
(408) 739-2022
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 144TOTAL ENROLLED CHILDREN: 59CENSUS: 41DATE:
11/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Dieu Me LeTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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Licensing Program Analysts (LPAs), Janette Cruz and Harsimran Kaur conducted an unannounced case management inspection in response to a request for change of capacity from 144 to 120 preschool children in classrooms 3, 6, 7, 8 and 9. LPA met with Dieu Mi Le, Director and explained to her purpose of today’s inspection. The Preschool Program currently serves children ages 2 years - entry to kindergarten in preschool rooms 2,3,6,7,8 & 9 . The facility also has a licensed school age program (# 434416433) on room 1 and infant program (#434416197) on rooms 4 & 5 within the same premises. The Facility received a fire safety inspection approval from the Sunnyvale Department of Public Safety for the change of capacity on 08/01/24. Hours of operation will be Monday to Friday 7:00 AM – 6:00 PM. LPAs toured and measured the indoor and outdoor areas of the Facility during today's inspection. The facility has a total of 5 preschool classrooms.

Preschool Classroom measurements are:
The Indoor total measurements contain a total of {4304.40} square feet, which will accommodate Applicant's request for 120 preschool children.

Preschool Outdoor Play measurements are:
Outdoor total measurements contain a total of {17517.68} square feet, which will accommodate Applicant’s request for 120 preschool children.

LPAs observed classrooms are clean, safe, sanitary and in good repair. All outdoor and indoor passage ways and other areas of potential hazard were free of obstruction. A comfortable temperature for children shall be maintained at all times. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All play equipment and materials used by
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: COMMUNITY FIRST SCHOOL
FACILITY NUMBER: 434416196
VISIT DATE: 11/18/2024
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children were observed to be age-appropriate. There are 94 chairs, 20 tables, 197 cubbies, 85 cots, 10 toilets, and 15 sinks available for preschool children. There is a separate staff toilet not utilized by the children which an isolated child can use if needed.

LPAs observed that the teacher/child ratio was in compliance during today's visit. The
facility serves lunch and snacks to the preschool children. Drinking water is readily available for the children via water bottles and water fountains. LPAs observed that facility has a kitchen area kept off limits to children equipped with refrigerator and microwave.

LPAs observed that the preschool playgrounds are surrounded by appropriate fencing. The preschool playgrounds have climbing structures with sufficient resilient materials (tan bark). LPAs reminded Director that sandboxes shall be inspected daily and kept free of hazardous foreign materials. There is adequate age appropriate supplies and toys outdoors. Shade is provided by trees and canopies. LPAs observed no bodies of water. Based on today's inspection, LPAs determined that the facility's physical plant is in compliance with applicable Health & Safety Codes and Title 22 Regulations.

An exit interview was conducted and a copy of appeal rights and this report was provided to Dieu Mi Le, Director. LPAs advised Director that request for decrease in capacity from 144 to 120 preschool children will be approved upon final review by the Licensing Program Manager. No deficiencies issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC809 (FAS) - (06/04)
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