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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417027
Report Date: 04/12/2023
Date Signed: 04/12/2023 03:30:29 PM

Document Has Been Signed on 04/12/2023 03:30 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: 45TOTAL ENROLLED CHILDREN: 40CENSUS: 21DATE:
04/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Sarah VazquezTIME COMPLETED:
03:20 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 move the isolation area for sick children. LPA toured the facility. The new isolation area is located in a space adjacent to the kitchen and close to the staff bathroom. Isolation equipment will be provided by the facility. Sick children will use the staff bathroom if needed and will be accompanied by a staff member. Site Director understands that sick children in isolation shall be supervised by staff. LPA obtained an updated facility sketch during the inspection.

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: 04/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2023
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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