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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408901
Report Date: 02/14/2024
Date Signed: 02/14/2024 03:36:15 PM

Document Has Been Signed on 02/14/2024 03:36 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BRIGHT STARS CHILDREN'S CENTER INC.FACILITY NUMBER:
073408901
ADMINISTRATOR:TALEBOO, NAHIDFACILITY TYPE:
830
ADDRESS:1581 MEADOW LANETELEPHONE:
(415) 310-7543
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 15DATE:
02/14/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:SOODABEH GHORBANASHRAFITIME COMPLETED:
04:00 PM
NARRATIVE
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On 2/14/2024 at 8:15 am Licensing Program Analyst (LPA) Tasha Alexander met with Lead Teacher Soodabeh Ghorbanashrafi for an Unannounced Required 3-Year Inspection. During the inspection were sixteen (16) infants and toddlers and thirteen (4) staff were present. two classrooms (infant room and toddler room) were toured for a health and safety inspection. The facility operates from 7:30am – 6:00pm, Monday – Friday. The facility also holds a license for preschool, Facility #073408902 as well.

The facility has ample age appropriate materials in the classrooms that were observed to be clean and in good condition. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. There is at least one (1) fully stocked first-aid kit on site. There is a centralized smoke and carbon monoxide detection system and multiple fully charged fire extinguishers as well. All cribs are free from defects and properly maintained.. All napping equipment is clean and properly stored. The changing tables have proper cushioning and are clean and in good repair. Sinks are in proper working order, and well maintained. Per Lead Teacher, medications are not maintained at the facility at this time.

The outside area is clean, free from defects with ample age-appropriate materials for the children. The play structure is anchored into the ground and properly maintained. There is a storage shed that is locked and inaccessible to the children in care. There is also shade for the children. LPA did not observe any harmful or unattended bodies of water in or around the facility.

The kitchen area is clean, well maintained, and all hazards are in inaccessible areas. All children have access to clean drinking water inside. The toddlers bring their own water bottles for drinking outdoors. All children bring their lunch to school, infant's bottles are labeled. The facility provides morning and afternoon snack. All food provided by the facility is properly stored and labeled.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901
VISIT DATE: 02/14/2024
NARRATIVE
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 All staff have obtained a criminal record clearance, or transfer. All required postings are made visible in the entry way of the facility. The fire/disaster drill log shows the last drill conducted in June 2023. A physical census of the children was taken and cross referenced with the electronic sign-in and out log app. All children have been properly signed in by their parent or authorized representative. LPA obtained a sample of the children’s files, a sample of the staff files, today the files were incomplete.

The Lead Teacher was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Assistant Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed lead teacher that all forms can be downloaded at www.ccld.ca.gov. Lead Teacher was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
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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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901
VISIT DATE: 02/14/2024
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

Lead Teacher was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with teacher in charge Soodabeh Ghorbanashrafi.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
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Page: 3 of 11
Document Has Been Signed on 02/14/2024 03:36 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 02/14/2024 at 02:20 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED THE LAST FIRE DRILL WAS CONDUCTED IN JUNE 2023
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL CONDUCT A FIRE/DISASTER DRILL WITH CHILDREN IN CARE, DOCUMENT AND SUBMIT A COPY OF THE UPDATED LOG TO COMMUNITY CARE LICENSING BY 2/28/24
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED SEVERAL STAFF DO NOT HAVE IMMUNIZATION RECORDS IN FILE
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL HAVE EACH STAFF MEMBER OBTAIN THEIR IMMUNIZATION RECORDS. LICENSEE MUST SUBMIT COPIES OF THE RECORDS TO COMMUNITY CARE LICENSING BY 2/28/24. RECORDS MUST SHOW PROOF OF MEASLES VACCINE, PERTUSSIS VACCINE AND FLU VACCINE OR SUBMIT A FLU DECLARATION.
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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024


LIC809 (FAS) - (06/04)
Page: 4 of 11
Document Has Been Signed on 02/14/2024 03:36 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 02/14/2024 at 02:20 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED SEVERAL STAFF DO NOT HAVE TB TEST RESULTS IN FILE
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE MUST HAVE EACH STAFF MEMBER OBTAIN A TB TEST OR SUBMIT A TB TEST NO MORE THAN 1 YEAR OLD. LICENSEE WILL SUBMIT COPIES OF THE TB TEST RESULT TO COMMUNITY CARE LICENSING (CCL) BY 2/28/24
Type B
Section Cited
CCR
101216(l)(1)(B)
Personnel Requirements
(B) A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED SEVERAL STAFF DO NOT HAVE THE SIGNED EMPLOYEE RIGHTS FORM IN FILE
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL HAVE EACH EMPLOYEE SIGN THE EMPLOYEE RIGHTS FORM AND LICENSEE WILL SUBMIT COPIES OF THE RECEIPTS TO CCL BY 2/28/24.
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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024


LIC809 (FAS) - (06/04)
Page: 5 of 11
Document Has Been Signed on 02/14/2024 03:36 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 02/14/2024 at 02:20 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.1(b)(1)
Teacher Qualifications and Duties
(1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED AT LEAST ONE INFANT TEACHER DOES NOT HAVE TRANSCRIPTS IN FILE AND 2 TEACHERS DO NOT HAVE PROOF OF INFANT ECE UNITS TO QUALIFY AS AN INFANT TEACHER IN FILE
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL SUBMIT TEACHER QUALIFICATIONS/TRANSCRIPTS TO CCL BY 2/28/24
Section Cited
Teacher Qualifications and Duties
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/14/2024 03:36 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 02/14/2024 at 02:20 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101416.2(b)
Infant Care Teacher Qualifications and Duties
(b) Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semester or equivalent quarter units related to the care of infants, at an accredited or approved college or university.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED INFANT STAFF DO NOT HAVE PROOF OF ECE UNITS RELATED TO INFANTS IN FILE.
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL SUBMIT STAFF TRANSCRIPTS FOR QUALIFIED INFANT TEACHERS BY 2/28/24.
Type B
Section Cited
HSC
1596.8662(c)
Administration of Child Day Care Licensing
(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED SEVERAL STAFF DO NOT HAVE CURRENT MANDATED REPORTER CERTIFICATES IN FILE
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL HAVE EACH STAFF MEMBER SUBMIT OR COMPLETE THE TRAINING AND SUBMIT A CURRENT MANDATED REPORTER CERTIFICATE BY 2/28/24.
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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024


LIC809 (FAS) - (06/04)
Page: 7 of 11
Document Has Been Signed on 02/14/2024 03:36 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 02/14/2024 at 02:20 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT STARS CHILDREN'S CENTER INC.
FACILITY NUMBER: 073408901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101221(b)(8)(C)
Child's Records
(b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: (C) A signed consent form for emergency medical treatment unless the child's authorized
representative has signed the statement specified in Section 101220(f).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED SEVERAL CHILDREN DO NOT HAVE THE MEDICAL CONSENT FORM IN FILE
POC Due Date: 02/28/2024
Plan of Correction
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LICENSEE WILL HAVE THE CHILDREN'S PARENT/REPRESENTATIVE COMPLETE AND SIGN THE MEDICAL CONSENT FORM. LICENSEE WILL SUBMIT COPIES OF THE FORMS TO COMMUNITY CARE LICENSING BY 2/28/24
Section Cited
Staff-Infant Ratio
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024


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