Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414640
Report Date: 05/10/2018
Date Signed 05/10/2018 10:02:03 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CENTRO ARMONIA SPANISH SCHOOL-SANTA TERESAFACILITY NUMBER:
434414640
ADMINISTRATOR:CLAUDIA HERNANDEZFACILITY TYPE:
830
ADDRESS:196 MARTINVALE LANETELEPHONE:
(408) 644-7614
CITY:SAN JOSESTATE: CAZIP CODE:
95119
CAPACITY:8CENSUS: 8DATE:
05/10/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Claudia HernandezTIME COMPLETED:
10:10 AM
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Licensing Program Analyst (LPA) Oscar Huang met with Director, Claudia Hernandez and Office Administrator Celia Parker for a case management inspection to deliver the amended reports dated 05/09/2018. LPA explained the nature of today’s inspection to them.

LPA interviewed with the director and the office administrator.

There are no deficiencies cited. Exit interview conducted with Director.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2018
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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