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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417027
Report Date: 03/23/2023
Date Signed: 03/23/2023 12:34:33 PM

Document Has Been Signed on 03/23/2023 12:34 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:TODDLER TOWN LLCFACILITY NUMBER:
434417027
ADMINISTRATOR:SARAH VAZQUEZFACILITY TYPE:
850
ADDRESS:6920 ALMADEN EXPRESSWAYTELEPHONE:
(408) 373-3169
CITY:SAN JOSESTATE: CAZIP CODE:
95120
CAPACITY: 38TOTAL ENROLLED CHILDREN: 44CENSUS: 36DATE:
03/23/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Sarah VazquezTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Marilou Monico met with Site Director, Sarah Vazquez, and conducted an unannounced Case Management Inspection to check the play structure that was installed in Playground 3. LPA toured the facility and observed a sturdy plastic playhouse structure with slide in Playground 3. LPA observed tanbarks as resilient material under and around the structure.

Exit interview conducted and report was reviewed with Sarah Vazquez, Site Director. LPA advised Sarah that a license for 33 preschoolers and 12 children in the toddler option program will be submitted to Licensing Management for the final stage of approval.

There were no deficiencies cited.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023
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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