434400314-7-12-2021-07-CC-AALZ-C4V57D-20210712194210

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400314
Report Date: 07/12/2021
Date Signed: 07/12/2021 07:43:08 PM

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:	BRIGHT HORIZONS-SAN JOSE		FACILITY NUMBER:	434400314
ADMINISTRATOR:	REBECCA ADAMS		FACILITY TYPE:	840
ADDRESS:	6120 LISKA LANE		TELEPHONE:	(408) 225-3276
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95119
CAPACITY:	53	CENSUS: 14	DATE:	07/12/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:37 PM
MET WITH:	Adams, Rebecca		TIME COMPLETED:	07:38 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	On this day, an unannounced annual random Inspection was conducted by Licensing Program Analyst (LPA) Almaraz, Celi. This Facility is currently licensed for a capacity of 53; upon arrival there was a total census of 14 school age children with 2 teachers. LPA met with Director Adams, Rebecca. The hours of operation are 7:00 AM to 6:30 PM, Monday thru Friday (M-F), due to lower enrollment the correct hours are 8;30 AM to 6: 00 PM, M-F. LPA was taken on a guided tour of the facility of indoors/outdoors. This is a school age program which consists of one classrooms; The Pavilion. All areas identified on the Facility Sketch were inspected. This is a triple component facility, also licensed for Infant care # 434400312 and Preschool 434400313; the following was observed during the inspection of the facility: PHYSICAL PLANT: Pavilion: Upon arrival, had a total of 2 teachers with 14 shcool age children. LPA observed access to 2, toilets, 3 sinks and drinking water. Teacher and child ratios were observed and staff names recorded. Furniture and equipment: All furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings was observed. Availability of drinking water was reviewed. Toys observed to be clean. All storage containers for solid waste, including moveable trash receptacles have tight-fitting covers that are kept on, and in standard condition. Director states waste is to be discarded immediately after each meal. Director will replace any trash bins that do not have a foot pedal option. Pavilion playground: Is in a safe condition, free of sharp, defective or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. There is a concrete area where there is some root damage due an oak tree, there are some crevices in the area. Director will facilities maintenance to fill in the cracked areas. While this is currently not a hazard this is a preventative measure, issue will persist. 1/3

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli Almaraz	TELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BRIGHT HORIZONS-SAN JOSE	FACILITY NUMBER: 434400314
	VISIT DATE: 07/12/2021

NARRATIVE

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Menus: Menus are posted one week in advance, where it is visible by the child's authorized representative. Menus for the past one years are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. The facility provides AM and PM snacks. Children bring own lunch. Food preparation areas were toured for safety, cleanliness and proper equipment. Refrigerators reviewed for appropriate temperature.

Napping equipment: There is no napping in this facility.

Lavatories: Restrooms/lavatories inspected. Age appropriate sinks and toilets were inspected for availability and sufficient condition in all restrooms. Sinks/toilets inspected for availability, water temperature, toilet paper, area safety and sanitatio. LPA Almaraz observed the children's sinks are in working condition and meet licensing standards. LPA Almaraz observed soap dispenser and disposable towels in the bathrooms. Staff has two separate bathrooms, one can be utilized by sick children if needed Sick children can isolate in cubby room.

First Aid and Fire safety: First Aid supplies and backpacks were observed in the classroom. According to Director medication is only administered to a child when accompanied with a doctor's note and is stored in the office. Carbon monoxide detectors and smoke detectors are and working present in the facility. There is fire extinguisher access in room, size 3A40BC, last serviced on 11/19/2020. Hazardous items including poisonous cleaning compounds stored inaccessible to children. Last fire drill was 06/30/2021;Director understands the requirement to conduct fire/disaster drills every 6 months. The emergency exit doors are accessible. The emergency disaster plan is posted in an area where it is visible to staff , parents and authorized parent representatives.

Personal Rights: Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs and personal rights of children are met and appropriate. Personal Rights of children were observed by LPA. Facility is following RAST procedures and COVID preventative measures.

Facility Records: LPA obtained current children's roster. Sign-in /out sheets and procedures were reviewed. Children’s Records were reviewed for completeness; Inspection of required forms was made. Staff records complete. In review of children’s records, files contain information including, but not limited to: 2/3

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli Almaraz	TELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BRIGHT HORIZONS-SAN JOSE	FACILITY NUMBER: 434400314
	VISIT DATE: 07/12/2021

NARRATIVE

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Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Criminal Record Clearances were reviewed for adults. At least one staff has valid CPR card (02/15/2023) Inspection of required postings made. children are checked in at health station.
Incidental Medical Services. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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
The following was discussed with Director: Rooms that are off-limits need to be made accessible during operating hours. Smoking is prohibited. Inaccessibility of hazards must be constantly reassessed depending on the children in care. LPA advised Director to stay informed on PIN updates via email. SB792 (Immunization Requirements for Staff and Employees) was discussed. AB1207 Mandated Child Abuse Reporting). The fire extinguisher type 2A40BC or larger must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked/batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction etc. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Director to log onto web site www.ccld.ca.gov to obtain forms and LIVE SCAN application. Records for all children and staff must be maintained for three (3) years after separation from the facility. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL. Director advised that indoor and outdoor supervision required at all times. There are no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1 NOTICE OF SITE VISIT ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.*****3/3

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli Almaraz	TELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

LIC809 (FAS) - (06/04)

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