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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005301
Report Date: 07/20/2023
Date Signed: 07/20/2023 05:20:42 PM


Document Has Been Signed on 07/20/2023 05:20 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 BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:BRIGHT STARS INFANT CENTERFACILITY NUMBER:
214005301
ADMINISTRATOR:NAHID TALEBLOOFACILITY TYPE:
830
ADDRESS:1055 LAS OVEJAS AVENUETELEPHONE:
(415) 310-7543
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:15CENSUS: 15DATE:
07/20/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Nahid TaleblooTIME COMPLETED:
05:35 PM
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On 7/20/2023, Licensing Program Analyst (LPA) Hanson Leong, made a scheduled case management visit to the child daycare facility listed above. The Department received an application from the Licensee requesting a capacity increase for their infant program. The LPA explained the purpose of the visit to the Director. All the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed four staff members supervising fifteen infants. Children's capacity and ratio requirements were observed to be in compliance.

During today’s visit, the facility was checked for any health and safety concerns. Room #8 was specifically surveyed to ensure that the classroom's square footage was sufficient for the requested capacity increase. The total indoor usable space is 841.5 sq ft, which can accommodate roughly 24 children due to the licensing requirement of 35 sq ft indoor activity space per child. There is a centralized fire alarm, a smoke and carbon monoxide detector, and a fully charged fire extinguisher in the classroom. Toys, furniture, and equipment are offered for children. There is a storage area for children's personal items. The infant program has a total of 2 changing tables, one in each room. With the addition of room #8, the infant rooms will be in #7 and #8. Because facility # 214005291 was closed as of 7/20/2023, the infant program was able to use Room # 8.



The LPA will not approve an increase in capacity to 35 children until the following condition is met:
- Obtaining fire clearance from the fire department

A copy of today’s report and the notice of site visit were given to Nahid Taleboo. The notice of site visit must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Nahid Taleboo.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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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