<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417289
Report Date: 11/28/2023
Date Signed: 11/28/2023 04:24:15 PM

Document Has Been Signed on 11/28/2023 04:24 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:THOI, LINHFACILITY NUMBER:
434417289
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
11/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Linh ThoiTIME COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst(LPA) conducted an Pre-Licensing inspection and was greeted by Licensee Linh Thoi and her assistant. Present were seven children (two infants and five preschool age children). Licensee has submitted an application to increase her capacity to a Large Family Day Care(14 capacity). Fire clearance was approved on 10/27/2023. Last disaster drill was conducted on September 1, 2023. Hours of operation is 8:00am to 6:00pm, Monday- Friday.

LPA inspected the indoor and outdoor areas of the home. Off limits areas in the home are three bedrooms, a bathroom, kitchen area and garage. The home is with a fully fence in backyard for outdoor activity. Off limit area in the back yard is the detached garage to ensure inaccessible to children. LPA observed appropriate children’s play structure and toys. Licensee states she supervises the children while they participate in all outdoor activities. No Bodies of water observed.

The home is clean and orderly, with heating and ventilation for safety and comfort of children in care. Licensee stated that there are no weapons such as firearm stored on the premises. LPA observed twelve(12) cots and one portable crib. LPA reminded that all Detergents, cleaning compounds, sharps, medicines, and other items which could pose a danger are to be stored where they are inaccessible, out of reach of children. The home has a barricaded fireplace in the living room. LPA observed smoke detector and fire extinguisher.

No deficiencies cited, exit interview conducted and report was reviewed with the Licensee Linh Thoi. LPA Morales explained that the increase of capacity will be granted pending management approval.

A notice of site visit was given and must remain posted for 30 days.




SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1