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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410518059
Report Date: 12/07/2023
Date Signed: 12/07/2023 12:16:16 PM

Document Has Been Signed on 12/07/2023 12:16 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BRIGHT BEGINNINGS TODDLER/PRESCHOOLFACILITY NUMBER:
410518059
ADMINISTRATOR:ADAN, JOANNEFACILITY TYPE:
850
ADDRESS:30 HOBART AVENUETELEPHONE:
(650) 571-0343
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY: 23TOTAL ENROLLED CHILDREN: 23CENSUS: 16DATE:
12/07/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Jerry Adan, Joanne AdanTIME COMPLETED:
12:20 PM
NARRATIVE
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On 12/07/2023 at 9:05AM., Licensing Program Analysts (LPAs), Luis J. Gomez and Janet Gil, met with Licensee/ Director, Joanne Adan. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate a preschool-age program. Present was the Director/ Licensee and 2 staff supervising 16 children. Children present had been properly signed in. Staff’s criminal record clearances are on file. Preschool program utilizes 4 rooms: Front room (Language Area); Back Room, (Math Room); Side Area, (Art/ Music Room); Outside Classroom, and the Outdoor Play Area. Days and hours of operation are Monday- Friday 8:00am- 5:00pm. LPA inspected facility, indoors and outdoors for health and safety hazards.

At 9:15AM., the following was observed: Classrooms were clean, orderly, with age-appropriate materials available for the children. Floor and ground surfaces were clear of obstacles or hazards. Individual cubbies are available or children's belongings. Accessible art supplies, books, and puzzles inspected were free of sharp corners or splinters. Facility was equipped with child- sized tables and chairs for seated activities. Children’s bathroom was maintained clean, with fixtures in operating condition. Staff bathroom is located separate. For napping services, foldable mats made of a cleanable material is stored in closet. Per Licensee, napping supplies are washed weekly by families. Facility had proper ventilation and lighting. Accessible outlets have been covered. Diaper changing table is available for staff. Facility has built-in smoke detectors, testable carbon monoxide detectors, functioning telephone service, and fire extinguishers: 3A:40BC, which is fully charged. Facility’s first aid kit was reviewed. (REFER TO 809C, FOR CONT.)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023
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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Document Has Been Signed on 12/07/2023 12:16 PM - It Cannot Be Edited


Created By: Luis Gomez On 12/07/2023 at 10:57 AM
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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BRIGHT BEGINNINGS TODDLER/PRESCHOOL
FACILITY NUMBER: 410518059

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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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At 10:40AM., Based on record review, LPAs confirmed staff's proof of required immunization were missing from facility files. This poses a potential health and safety risk to children in care.
POC Due Date: 12/15/2023
Plan of Correction
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Licensee will stored staff, S1, proof of required immunization in facility files by the due date: 12/15/2023. Proof of correction will be submitted to the Department via email.
Section Cited
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:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2023


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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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT BEGINNINGS TODDLER/PRESCHOOL
FACILITY NUMBER: 410518059
VISIT DATE: 12/07/2023
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At 9:50AM., LPAs inspected the outdoor play area. Area was completely enclosed, with playthings available for the children. Absorbent material had been installed around climbing structure. Climbing structure inspected was properly anchored. Sandbox had been covered, and was free of foreign objects. Per licensee, water services are provided outside with labeled water bottles.

During inspection, LPAs reviewed food preparation/storage room/ kitchen. Food items inspected was properly stored. Area was observed clean and without trash or rubbish.

At 10:10AM LPAs reviewed facility records including 5 children’s files and 1 personnel file. Children’s files were reviewed and contained the: Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700); Personal Rights (LIC613A); Notification of Parent’s Rights (LIC995); Immunization Records; and ‘Written Medical Assessments’.

Staff’s files was reviewed and contained the: Notice of Employee Rights (LIC9052); Teacher Qualifications; Health Screening (LIC503) and Personnel Record (LIC501).

At 10:40AM., Based on record review, LPAs confirmed staff's proof of required immunization were missing from facility files.



LPAs reminded facility to ensure all staff's required ' Mandated Reporter Training' certification are current. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 10:45AM., Based on record review and interviews, LPAs confirmed two personnel files missing from facility records. Advisory Note: Technical Violation (LIC9102TV) issued during inspection.

Staff’s CPR/ 1st Aid certification was current, expiring on: 7/2024.

LPAs observed required posting in facility, including the: Facility License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Notification of Parent’s Rights (PUB394); and Child Passenger Safety Laws (PUB269). (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
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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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT BEGINNINGS TODDLER/PRESCHOOL
FACILITY NUMBER: 410518059
VISIT DATE: 12/07/2023
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For IMS information see PIN 22-02CCP. 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/.

Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN21-21- CCP.

Licensee was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations, and cited on the 809D. Exit interview, appeal rights, plan of correction and report was discussed with Licensee/ Director, Joanne Adan and Assistant, Jerry Adan. Signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was given and must remain posted for 30 days. Licensee was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC809 (FAS) - (06/04)
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