013420967-4-17-2023-52-CC-MOTI-CQYUF4-20230417153207

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420967
Report Date: 04/17/2023
Date Signed: 04/17/2023 03:32:21 PM

Document Has Been Signed on 04/17/2023 03:32 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	BRIGHT HORIZONS AT DUBLIN		FACILITY NUMBER:	013420967
ADMINISTRATOR:	NEIBERGER, SUSAN		FACILITY TYPE:	830
ADDRESS:	7035 DUBLIN BLVD.		TELEPHONE:	(925) 479-9573
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	20	CENSUS: 16	DATE:	04/17/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Susan Neiberger		TIME COMPLETED:	03:50 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	A Case Management Inspection was conducted on this date 4/17/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Director, Susan Neiberger and Assistant Director, Caitlin Cosgrove. An application was submitted for an Addition of a Room and Capacity Increase. The center has requested to add room Toddler 2 (previously known as Art Room) as licensed space and increase capacity from 20 infant aged children to 32 infant aged children. The program is currently utilizing two classrooms on campus (Infant & Toddler 1). Also on site is a Preschool Component (#013419488) operating out of 4 classrooms. Operating Monday through Friday from 8:00AM - 6:00PM. Present today was the Director, Assistant Director were 3 additional staff members and 16 napping infant aged child. A health and safety inspection was conducted inside and outside. Measurements were taken previously and are as follows: INDOORS: 1545.34 square feet = 44 children OUTDOORS: 2401.90 square feet = 32 children There are a total of 5 sinks and 3 toilets available for children use. Facility utilizes the gross motor skills and toddler playground. Drinking water is available inside and outside by way of water dispensers and bottles brought from home. Facility provides lunch and AM/PM snacks. Menus are posted. Facility has a functioning carbon monoxide detector, smoke detector and fire extinguisher accessible throughout the facility. Facility utilizes an electronic sign in/out application which provides a unique identifier for each authorized representative. A paper copy is available should the application not work. An approved Fire Clearance was received on 4/7/2023 from Dublin Fire Prevention Services for 32 infant aged children.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT HORIZONS AT DUBLIN	FACILITY NUMBER: 013420967
	VISIT DATE: 04/17/2023

NARRATIVE

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All licensing required documents are posted. Per Director, all Opening and Closing staff have current Pediatric CPR/First Aid. This facility plans to provide Incidental Medical Services – IMS. An updated Plan of Operation that includes IMS must be submitted to the Department when any changes are made. 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.

Mandated reporter and appeal rights, unusual incident reporting and fingerprint requirements were discussed today. Director is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during today's visit. A license with approval for 32 infant aged children operating out of 3 classrooms will be issued effective today, 4/17/2023.

An exit interview was conducted with Director, Susan Neiberger.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

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