434404373-4-16-2024-07-CC-SYIP-D4DU7M-20240416152010

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404373
Report Date: 04/16/2024
Date Signed: 04/16/2024 03:20:19 PM

Document Has Been Signed on 04/16/2024 03:20 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	STARBRIGHT SCHOOL		FACILITY NUMBER:	434404373
ADMINISTRATOR/ DIRECTOR:	ALLA USHOMIRSKY		FACILITY TYPE:	850
ADDRESS:	4645 ALBANY DRIVE		TELEPHONE:	(408) 985-1460
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95129
CAPACITY: 90	TOTAL ENROLLED CHILDREN: 40	CENSUS: 36	DATE:	04/16/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:25 PM
MET WITH:	Anastassia Ku		TIME VISIT/ INSPECTION COMPLETED:	03:25 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) Samantha Yip conducted an unannounced Annual/Random inspection. LPA met with staff, Olga, who allowed LPA into the facility. Anastassia Ku, Director of Operations, arrived shortly after. LPA explained the reason for the inspection. Present during today's inspection were 36 children and at least six (6) staff. There is an area to post required postings, such as license, notification of parent's rights, and car seat law. LPA reviewed electronic sign in/out, which has full legal signature. Facility does have a waiver to care for 12 school-age children. LPA toured the inside and outside of the facility with Anastassia. Room 5 is currently not being used due to it being painted. Disinfectant, cleaning supplies and other items that could pose a risk to children were inaccessible to chidlren. LPA discussed with facility representative to label any spray bottles with the content. Floors were free of tripping hazard. There are toys and equipment for children. There is a fire extinguisher, smoke detector, and carbon monoxide detector. The last fire/disaster drill was conducted on 03/27/2024. Facility representative stated that there are no weapons stored on the premise. The outside area is fenced. Shaded rest area is provided through canopy and the tree. Area around climbing structure have artificial turf. There were no bodies of water observed during today's inspection. Facility does provide meals and snacks to children. Menu was observed to be posted. Kitchen has hot and cold running water. Drinking water is provided through individual cups and water bottles. -----------------------------continues on 04/16/2024 page 2---------------------------

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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: 04/16/2024

NARRATIVE

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------------------continuation of 809 dated 04/16/2024 page 1--------------------

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

A copy of the facility roster was obtained during today's inspection. Six (6) children's files were reviewed during today's inspection. The records reviewed include but not limited to admission agreement and parent's rights.

Six (6) staff files were reviewed during today's inspection. The records reviewed include but not limited to education credit, Mandated Reporter training, and immunization records. There is at least one staff on site with a valid CPR/1st Aid, which expires on 01/14/2025. LPA discussed with Director of Operation that any transcripts for international universities need to be transcribed. S-1 and S-2 had transcripts from an international university that was not transcribed. LPA observed that there were with children during the inspection.

-----------------continues on 809 dated 04/16/2024 page 3----------------------

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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: 04/16/2024

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---------------continuation of 809 dated 04/16/2024 page 2-------------------

Upon entrance to Room 4, LPA observed that a child walked out of the restroom. There was no staff standing at the doorway where they can visually supervise the child. There was staff outside of the restroom.

As a result of this inspection, Type B citations were issued. Exit interview conducted and report was reviewed with Director of Operations, Anastassia Ku. A notice of site visit has been issued and must remain posted for 30 days.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 04/16/2024 03:20 PM - It Cannot Be Edited

Created By: Samantha Yip On 04/16/2024 at 02:55 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: STARBRIGHT SCHOOL	FACILITY NUMBER: 434404373
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229(a)(1)

Responsibility for Providing Care and Supervision

(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that a child walked out of the restroom in Room 4. There was no staff standing at the doorway were they can visually supervise the child.
	POC Due Date: 04/23/2024
	Plan of Correction
1 2 3 4	By POC 04/23/2024, facility will conduct training with staff. Facility will submit meeting notes and staff who attend to Licensing.

Type B

Section Cited

CCR

101216.3(a)

Teacher-Child Ratio

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. S-1 and S-2 had transcripts from an international university that was not transcribed.
	POC Due Date: 04/23/2024
	Plan of Correction
1 2 3 4	By POC 04/23/2024, facility will have S-1 and S-2's transcripts transcribed and send a copy to Licensing.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Joel Segura

LICENSING EVALUATOR NAME:

Samantha Yip

LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

LIC809 (FAS) - (06/04)

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