434415740-9-22-2021-07-CC-ASTR-C7GN2W-20211004100526

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415740
Report Date: 09/22/2021
Date Signed: 09/22/2021 11:43:22 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/08/2021 and conducted by Evaluator James G Santos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20210908111730

FACILITY NAME:	SPRINGBRIDGE INTERNATIONAL SCHOOL, LLC		FACILITY NUMBER:	434415740
ADMINISTRATOR:	REGAN, ROBERT		FACILITY TYPE:	850
ADDRESS:	1625 WEST CAMPBELL AVENUE		TELEPHONE:	(408) 477-5922
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY:	86	CENSUS: 45	DATE:	09/22/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Robert Regan, Licensee		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Facility staff are not qualified.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), James Santos conducted an unannounced subsequent complaint visit today and met with Licensee, Robert Regan. The purpose of today's visit was to deliver the investigation finding for the above allegation.

Based on the review of records, all day care center staff did not have a valid Pediatric CPR/First Aid certification and a valid AB1207 Mandated Reporter Training certification.

As a result of the investigation, deficiencies were cited. See LIC809D pages for deficiencies.

NOTICE OF SITE VISIT WAS ISSUED AND DIRECTOR WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: James G Santos	TELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20210908111730

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: SPRINGBRIDGE INTERNATIONAL SCHOOL, LLC	FACILITY NUMBER: 434415740
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/22/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/22/2021 Section Cited CCR 101216(f)	1 2 3 4 5 6 7	Personnel Requirements: At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.	1 2 3 4 5 6 7	Licensee agreed to submit copies of valid Pediatric CPR/1st Aid certification for staff by POC due date, 10/22/2021.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Per review of record, all staff did not have a valid Pediatric CPR/First Aid certification. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
Type B 10/22/2021 Section Cited HSC 1596.8662(4)(b)(1)	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.	1 2 3 4 5 6 7	Licensee agreed to submit copies of valid AB1207 Mandated Reporter Training certification for all staff by POC due date, 10/22/2021.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Per review of record, all staff did not have a valid AB1207 Mandated Reporter Training certification. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14

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: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: James G Santos	TELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC9099 (FAS) - (06/04)

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