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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417144
Report Date: 04/09/2024
Date Signed: 04/09/2024 10:33:58 AM

Document Has Been Signed on 04/09/2024 10:33 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:AGAPE CHRISTIAN PRESCHOOLFACILITY NUMBER:
434417144
ADMINISTRATOR/
DIRECTOR:		SOOHO LEEFACILITY TYPE:
860
ADDRESS:729 MORSE STREETTELEPHONE:
(408) 472-8288
CITY:SAN JOSESTATE: CAZIP CODE:
95126
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 15DATE:
04/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:44 AM
MET WITH:Sooho Lee and Juhee DoTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analysts (LPAs) Harsimran Kaur and Janette Cruz met with Sooho Lee and Juhee Do, Applicant representatives, to conduct an unannounced case management. Purpose of visit is to correct report dated 02/28/24 facilities request of capacity decrease to change of ownership. Additional documents were collected at the visit. LPAs observed infant outdoor space has rubber play mats as cushioning material to absorb a fall. LPAs also observed a sink within arms reach from infant changing table during today's inspection.

Exit interview conducted and report was reviewed with Sooho Lee and Juhee Do, Applicant representatives.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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