434404373-10-26-2022-07-CC-PHEZ-CKKSLY-20221026135908

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404373
Report Date: 10/26/2022
Date Signed: 10/26/2022 02:50:46 PM

Document Has Been Signed on 10/26/2022 02:50 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/26/2022 02:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

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) Peter Hernandez conducted an unannounced, required 1 year inspection today. LPA met with Director Anastasia Ku and explained the purpose of today's inspection. Facility was observed to be in compliance with teacher to children ratio requirement. Facility has 3 classrooms: #2 through 3 and 4. (5 rooms are approved under the license) Upon arrival, LPA observed 7 teachers present, supervising 42 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. 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. Facility has a professional cleaning service that comes in after hours. Director 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: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

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

FACILITY NAME: STARBRIGHT SCHOOL	FACILITY NUMBER: 434404373
	VISIT DATE: 10/26/2022

NARRATIVE

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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.

Director 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 Director and provider information 19-04-CCP was provided to .
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 are current. Fire Drill was conducted every month and last entry was 10/14/22.

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.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

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

FACILITY NAME: STARBRIGHT SCHOOL	FACILITY NUMBER: 434404373
	VISIT DATE: 10/26/2022

NARRATIVE

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Licensee provided LPA with a copy of the children's roster. Sign in and sign out sheets are recorded electronically. Staff mandated reporter certificates were current for the staff.

LPA reviewed 10 children's files and all files contained the required documentation. LPA reviewed 5 staff files and all the files contained the required documentation.

Several full time staff have a current CPR and First Aid Cards.

LPA discussed the requirements of AB 633 with the Licensee/Director (provide name) and provided the AB 633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and the Licensee/Director understands the requirements. Upon receipt, Licensee/Director (provide name) shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

TYPE A language: Should there ever be issuance of Type A citations today, a copy of the Facility Evaluation Report LIC809 has to be posted on the wall and a copy to be given to all parents of currently and newly enrolled children for next 12 months. In addition, copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports need to be signed and kept in child files.

A deficiency is NOT being cited based on the LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted and was reviewed with the Licensee. A copy of this report was discussed and left with the Licensee, Anastasia Ku, whose signature on this form confirm receipt of these documents.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

LIC809 (FAS) - (06/04)

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