434404373-11-12-2019-07-CC-YHUG-BHURN4-20191112120943

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404373
Report Date: 11/12/2019
Date Signed: 11/12/2019 12:09:48 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:	STARBRIGHT SCHOOL		FACILITY NUMBER:	434404373
ADMINISTRATOR:	ALLA USHOMIRSKY		FACILITY TYPE:	850
ADDRESS:	4645 ALBANY DRIVE		TELEPHONE:	(408) 985-1460
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95129
CAPACITY:	90	CENSUS: 63	DATE:	11/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Anastassia Ku		TIME COMPLETED:	12:25 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 Analyst (LPA) Oscar Huang conducted an unannounced, Annual inspection today. LPA met with the Site Manager Anastassia Ku and explained the purpose of today's inspection. Facility was observed to be in compliance with teacher to children ratio requirement. Facility has 5 classrooms: #1 to # 5. Upon arrival, LPA observed 10 teachers present, supervising 63 children. Facility’s License, Parents’ Rights Poster, Personal Rights, and Activity Schedules were observed to be posted. Facility's operating days and hours are Monday to Friday 7:30 AM to 6:00 PM. Facility holds an active waiver granted on 10/10/2002 to allow care for a maximum of 12 school age (after school) children while licensed as a preschool center only. The conditions of the waivers were reviewed with Manager. The physical plant was inspected. LPA toured the building inside and out. The 5 preschool classrooms, restrooms, kitchen, dining room, storage, laundry room, and office area were inspected. Manager stated that facility does not possess nor store any weapons on the premise. Disinfectants, cleaning solutions, poisons, and other items that are dangerous to children were stored inaccessible to children. Furniture and equipment such as mats, cots, step stools, tables, and chairs were age appropriate and were in good condition, free of sharp, loose, or pointed parts. Restroom for children's use were observed to be in safe and sanitary functioning condition. Floors were clean and safe. Outdoor activity space is fenced and play equipment were maintained in a safe condition and free of hazards. Outdoor activity space for age group 2-3 is separated from age group 4-5 by fencing. Each area has age appropriate play equipment and toys. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. Outdoor storage sheds were locked. Drinking water are arranged to be readily available to children during indoor and outdoor activities. Foods and beverages were kept protected against contamination and spoilage. Menus were posted. Lunch and Snack are prepared on site. Children eat lunch in the dinning room. Kitchen and food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for waste had tight-fitting covers on, and were in good repair.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng Huang	TELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

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

FACILITY NAME: STARBRIGHT SCHOOL	FACILITY NUMBER: 434404373
	VISIT DATE: 11/12/2019

NARRATIVE

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Manager stated that facility is not currently providing IMS services. However, IMS Plan of Operation was submitted to the department and on file. Assembly Bills regarding Lead Exposure was discussed with manager and provider information 19-04-CCP was provided to manager.

Manager stated that facility does not provide transportation for children but Director understands that children cannot be left alone, unattended in park vehicles. First Aid Kit was inspected. Fire extinguisher and smoke detector were observed today. Fire extinguisher was last serviced on 08/2019. Fire Drill was conducted every month.

Facility files were reviewed. Child sign in and out procedures and logs were reviewed. Logs showed that persons who brought and removed the child from the center were signing in and out. A random sampling of the files of children who were present during inspection were selected for review. The reviewed records included the Admission Agreement, Identification and Emergency Information, Medical Assessment, and Immunization.
Staff files for Teachers who were present, supervising the children during today's inspection were reviewed. The reviewed records included Criminal Record and Child Abuse Index Clearance, Health Screening Report with TB Clearance, records of immunization, and required Training. Teachers have the required education credits and experience. There was at least one person with current certification in Pediatric CPR and First Aid present at the facility.

LPA discussed Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. The training web site is available at: https://mandatedreporterca.com/, LPA observed all the staff had completed their training and their certifications were kept in their files.

No deficiency was cited. Exit interview conducted with Manager. A Notice of Site Inspection was issued, posted near the entrance of the facility, and must remain posted for 30 days.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng Huang	TELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

LIC809 (FAS) - (06/04)

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