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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417307
Report Date: 03/04/2025
Date Signed: 03/04/2025 03:41:44 PM

Document Has Been Signed on 03/04/2025 03:41 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:NEIGHBORHOOD CHRISTIAN PRESCHOOLFACILITY NUMBER:
434417307
ADMINISTRATOR/
DIRECTOR:		JULIE KENNEDYFACILITY TYPE:
850
ADDRESS:2315 CANOAS GARDEN AVENUETELEPHONE:
(408) 639-6376
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 45DATE:
03/04/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Shelly FrostTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Jennifer "Jen" Beehler conducted an unannounced Case Management Visit for the purpose of reviewing facility records and discuss them with the Director.

LPA observed Shelly Frost was the Site Director and was responsible for the day to day operations of the facility. LPA reviewed Director's file and found her to be Qualified Preschool Director and all licensing documents up to date and present.

LPA observed two missing training certificates that are required for the Director position:
1. 8 Hour Health and Safety Course that includes Nutrition and Lead. Director did have the lead safety training, but would need to produce the certificate for the Health and Safety training course along with the Nutrition Training course or the entire course would need to be repeated so that it included all the necessary components.

2. Child Care Center Record Keeping Training

LPA also stated an updated LIC200A (Center Application) LIC308 (Designation of Facility Responsibility) needed to be provided to the Department. These documents need to be the hard copy, with no corrections and must have a wet signature from the signatory, Julie Kennedy (Regional Manager).

Due to today's inspection, no deficiencies were cited. Exit interview conducted with Shelly Frost, report reviewed and provided. NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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