384002478-8-5-2019-05-CC-LGOZ-BERLJS-20190805084823

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002478
Report Date: 07/17/2019
Date Signed: 08/05/2019 08:48:29 AM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	BRIGHT HORIZONS AT KANSAS STREET (INF)		FACILITY NUMBER:	384002478
ADMINISTRATOR:	HOBSON, JENNY		FACILITY TYPE:	830
ADDRESS:	200 KANSAS STREET, STE. 100		TELEPHONE:	(415) 863-2533
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94103
CAPACITY:	64	CENSUS: 46	DATE:	07/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Directors, Jenny Hobson/ Lauren Dahia		TIME COMPLETED:	05:45 PM

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 Analysts, Luis J. Gomez met with Director’s Lauren Dahia and Jenny Hobson. The purpose of the visit was explained and was for an annual inspection. Infant Program operates 7 classrooms (4 toddler, 3 infant): Toddler 1, Toddler 2, Toddler 3 and Toddler 4 with children ages ranging from 12- 24 months. Infant 1, Infant 2, Infant 3 with children ages ranging from 0- 12 months. Facility hours of operation is Monday- Friday, 7:00am- 6:00pm. Present are Director’s and 12 Staff supervising 46 Infant children. Facility was inspected indoors and outdoors for health and safety hazards. For the infants, the facility has cribs available for sleeping. LPA Gomez observed sleep sacks are used for the children. All classroom are equipped with a changing station and working sink within arms distance. The toddler classrooms have working, child size toilets (2) and sinks (2) available for the children. Restrooms are maintained clean, in good repair, and with adequate supplies. Staff use a separate restroom located in the hallway. All classrooms have age appropriate toys and equipment that are in good repair. Classroom has acceptable ventilation and ample lighting. Children’s bottle and cups are properly labeled. Each classroom is equipped with a smoke and carbon monoxide detector and a fire extinguisher. First Aid Kit and Emergency supplies are properly maintained and kept inaccessible to children. All cleaning products and Toxins are inaccessible to the children and are in an off limit area. LPA Gomez inspected outdoor area for health and safety hazards. Program uses 2 separate Playgrounds equipped with Play structures for the children. LPA Gomez observed outdoor play area is free of debris and dangerous conditions. All outdoor toys and equipment are age appropriate and in good repair. All required Licensing information and forms is properly posted next to the main door. LPA Gomez reviewed personnel files, children’s files and facility roster during today’s inspection. LPA Gomez observed personnel files missing TB records for 3 employees. LPA Gomez observed children’s files and facility roster are complete and up-to-date. Continue to page 2...

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8832
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 393-9134
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BRIGHT HORIZONS AT KANSAS STREET (INF)	FACILITY NUMBER: 384002478
	VISIT DATE: 07/17/2019

NARRATIVE

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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

Director was reminded that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Director was informed about the Provider Information Notices (PINs) on CCLD website.

>No deficiencies were issued today under Title 22 Division 12 of the Ca. Code of Regulations.

This report and a Notice of Site Visit are provided. Due to Technical Issues during the inspection, this report will be mailed to director and returned to licensing at a later date.

Original Signed copies will remain in the facility file at the childcare regional office.

>This report and rights to comment and appeal were discussed with Site Supervisor. This report must be available in the facility for public review. Notice of site inspection was posted.

Site Supervisor was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8832
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 393-9134
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

LIC809 (FAS) - (06/04)

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