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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002945
Report Date: 03/18/2024
Date Signed: 03/18/2024 11:26:49 AM

Document Has Been Signed on 03/18/2024 11:26 AM - 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 ANGEL ACADEMYFACILITY NUMBER:
414002945
ADMINISTRATOR:HUANG, MEI-LINGFACILITY TYPE:
850
ADDRESS:695 BAY ROADTELEPHONE:
(650) 485-2722
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 48TOTAL ENROLLED CHILDREN: 36CENSUS: 26DATE:
03/18/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Meiling HuangTIME COMPLETED:
09:00 AM
NARRATIVE
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On March 18th,2024, Licensing Program Analyst (LPA) Kassandra Medrano conducted an unannounced, case management inspection regarding lead testing for childcare centers. LPA met with Director/Licensee, Meiling Huang, and Joseph Wyffels, Controller, and explained the purpose of the inspection. Present during visit included 26 children and 5 staff.

Per conversations with director, she stated that facility has water delivered monthly to facility, and children's personal water bottles are filled through the filtered water jugs that are in each classroom. Director stated that they were informed that if they only provided water through filtered water they did not need to test. LPA advised program to apply for waiver or test.

LPA discussed Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the facility representative during the inspection. All Child Care Centers that are licensed in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

As of this date, facility has not completed lead water testing that is in accordance with the Written Directives outlined in PIN 21-21.1-CCP. LPA referred facility representative to the Department website for lead: Toxicity Prevention and Water Testing Information.

Facility is being cited a Type B citation for not completing lead water testing requirement prior to due date. A plan of correction was discussed, and appeal rights were provided.

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

Exit interview conducted and report was reviewed with and Joseph Wyffels, Controller.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 03/18/2024 11:26 AM - It Cannot Be Edited


Created By: Kassandra Medrano On 03/18/2024 at 08:48 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 ANGEL ACADEMY
FACILITY NUMBER: 414002945

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/18/2024
Section Cited

101700(b)

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101700(b) All licensed Child Care Centers operating in buildings constructed before January 1,2020, shall test their water for lead pursuant to these written directives

This requirement was not met as evidenced by:
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Facility agreed to either submit for waiver, or submit for processing of lead testing by 4/18/24
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Based on record review and interviews with licensee's the facility did not comply with the requirements listed.
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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:Ali Zebila
LICENSING EVALUATOR NAME:Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2024


LIC809 (FAS) - (06/04)
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