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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700745
Report Date: 07/21/2023
Date Signed: 08/02/2023 08:33:14 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/02/2023 08:33 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:STANFORD WEST CHILDREN'S CENTERFACILITY NUMBER:
435700745
ADMINISTRATOR:NANCY TRINH COSTANTIELLOFACILITY TYPE:
850
ADDRESS:625 CLARK WAYTELEPHONE:
(650) 723-8700
CITY:PALO ALTOSTATE: CAZIP CODE:
94304
CAPACITY: 90TOTAL ENROLLED CHILDREN: 35CENSUS: 22DATE:
07/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nancy CostantielloTIME COMPLETED:
01:30 PM
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On 07/21/2023 at 9:30am, Licensing Program Analyst (LPA) Christina Uribe conducted an Unannounced Annual Required Inspection. LPA met with Site Director, Nancy Costantiello, also present at the time of the inspection were 4 staff & 22 children. The facility was toured to conduct a Health & Safety inspection.

At the time of today's visit, LPA Uribe was unable to obtain access to the FAS database and a manual inspection report was created. LPA conducted the inspection by touring the facility and physical plant, reviewing children's, personnel, and administrative records and conducting a staff interview. Please see attached LIC 809 for the manual report filled out by LPA Uribe, which was signed and reviewed by the director, Nancy Costantiello.

StanfordWestChildrensCenter Preschool Manual LIC 809 Report.pdfStanfordWestChildrensCenter Preschool Manual LIC 809 Report.pdf

Note: This report has been reviewed with the director upon returning to the facility on 07/27/2023 to complete the required inspection in the FAS database.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2023
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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