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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420967
Report Date: 10/02/2019
Date Signed: 10/02/2019 12:06:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BRIGHT HORIZONS AT DUBLINFACILITY NUMBER:
013420967
ADMINISTRATOR:JARIN, RINAFACILITY TYPE:
830
ADDRESS:7035 DUBLIN BLVD.TELEPHONE:
(925) 479-9573
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:20CENSUS: 15DATE:
10/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Rina JarinTIME COMPLETED:
12:05 PM
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1) LPA Dayna Collier met with Center Director Rina Jarin for an annual random inspection. LPA toured the facility and play yard for a health and safety inspection. There were 5 staff members supervising 15 infants and toddlers. A review of staff records on 10/2/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Personnel file were reviewed and found to be complete. Children's files were reviewed. The classroom(s) and play yard were age appropriate. Changing table areas were clean and within reach of water. Bottles, containers and food were labelled. Each child had a daily needs log available for review via the MyBrightDay app. Infant needs and services plans were being maintained. Meals and snacks for toddlers are provided by the facility. Menus were posted. The storage of napping equipment and the arrangement of cribs were observed. Parents sign in and out electronically. All posting requirements are being met. Outdoor play area provided a shaded area for the children and access to drinking water via cups. Medications are not being dispensed at this time. There is a working telephone. There is a carbon monoxide in each classrooms.
Opening and closing staff have current CPR and first aid training. The Director has received the Safe Sleep Concept information.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

As a result of today's inspection, there are no deficiencies cited.
An exit interview was conducted and the report was discussed.
A SITE VISIT NOTICE WAS POSTED BY DIRECTOR.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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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