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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417052
Report Date: 02/16/2023
Date Signed: 02/16/2023 02:40:08 PM

Document Has Been Signed on 02/16/2023 02:40 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:KINDERWOOD PRESCHOOLFACILITY NUMBER:
434417052
ADMINISTRATOR:CHEYENNE BOHNFACILITY TYPE:
830
ADDRESS:5560 ENTRADA CEDROSTELEPHONE:
(408) 839-5669
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
02/16/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Gireesh MalhotraTIME COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Janette Cruz and Mel Matos met with Applicant Representative, Gireesh Malhotra, Applicant, for the purpose of conducting a follow-up pre-licensing inspection. This was in response to an application for a change of ownership. Also present today was Applicant’s wife/current facility director of ABC Preschool & Daycare (015700561), Anupama Malhotra.

LPAs inspected the portable sink (with a foot operated water pump) during today's inspection. LPAs observed a working portable sink (26 inch counter height) which is located in the encumbered space between Rooms 1 and 2. LPAs observed that the portable sink has a posted sign which indicates that it is to be only used for "hand washing purposes". LPAs observed that the portable sink has one fresh water tank & one waste water tank. Both tanks will be checked at least once every two hours (per cleaning log provided) and emptied and refilled at least once per day.

Exit interview conducted and report was reviewed with Gireesh Malhotra, Applicant.
LPAs advised him that a license for 30 infants will be submitted to Licensing Management for the final stage of approval.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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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