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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435294351
Report Date: 03/11/2025
Date Signed: 03/15/2025 05:36:37 PM

Document Has Been Signed on 03/15/2025 05:36 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:SWEET DREAMS CARE HOME LLCFACILITY NUMBER:
435294351
ADMINISTRATOR/
DIRECTOR:		JEAN JOSEFACILITY TYPE:
740
ADDRESS:1187 PARK GROVE DRIVETELEPHONE:
(408) 941-9995
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 6CENSUS: 5DATE:
03/11/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:39 PM
MET WITH:Jean JoseTIME VISIT/
INSPECTION COMPLETED:
04:39 PM
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Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit to deliver an amended LIC9099-D and met with Administrator (ADM) Jean Jose.

The purpose of today's visit is to deliver an amended investigation report LIC9099-D issued to ADM on 02/19/2025. .

On 02/19/2025, an investigation report LIC9099 and LIC9099-D were issued to ADM for complaint number 26-AS-20240621154956.

The Department amended the investigation report LIC-9099-D.

No citation were cited during todays visit.

Exit interview was conducted with ADM. This report were provided to ADM for signature. A copy of this report was provided to ADM.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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