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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417366
Report Date: 07/26/2024
Date Signed: 07/26/2024 09:56:15 AM

Document Has Been Signed on 07/26/2024 09:56 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:CHENG,HSIAO-YING&NAZARENO,REGINALD&HUANG,TIEN-HSINFACILITY NUMBER:
434417366
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
07/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Hsiao-Ying Cheng & Reginald NazarenoTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Mel Matos met with Hsiao-Ying Cheng & Reginald Nazareno, Licensees, for an unannounced case management inspection. LPA also observed six day care children (3 infants & 3 preschool) in the home during today's inspection.

Reginald inquired about when to apply for the increase of capacity request. LPA advised Reginald that the Facility "anniversary date" is September 6, 2024 and that the increase of capacity request along with a $25 payment (check or money order) can be submitted to the Department approximately two weeks prior to the anniversary date.

LPA advised Reginald that the Sunnyvale Department of Public Safety will need to complete and approve a fire inspection of the home prior to the Department completing its inspection.

Exit interview conducted and report was reviewed with the Licensee, Reginald Nazareno. No deficiencies issued.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2024
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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