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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430704133
Report Date: 02/08/2024
Date Signed: 02/09/2024 08:18:34 AM

Document Has Been Signed on 02/09/2024 08:18 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRACHER CHILDREN'S CENTERFACILITY NUMBER:
430704133
ADMINISTRATOR:SILVIA BEJARANOFACILITY TYPE:
850
ADDRESS:2401 BOWERS AVENUETELEPHONE:
(408) 423-1228
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 17DATE:
02/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Joanna Gill/Whitney LukancTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Anna Morales conducted a Case Management inspection to follow up on an Unusual Incident that was reported by the facility to Licensing on 1/30/24. LPA was greeted by Head Teacher Joanna Gill and Whitney Lukanc, Early Learning Program Specialist. LPA conducted interviews with staff.

During the course of this investigation, LPA was informed that Site Director Silvia Bejarano has been absent from this site since October 2023. Whitney Lukanc informed LPA that they have qualified staff present in her absence. Whitney Lukanc understands that a Site Director shall be on the premises during the hours the center is in operation.

Based on interviews and evidence gathered, it was determined that on 1/30/24, approximately at 12:10pm(during transition from out door time to indoor time), a Preschool aged child was left unattended outside on the playground for approximately for five minutes. This poses an immediate risk to the health, safety, and personal rights to children in care.

A TYPE B and one TYPE A citation was issued at today's visit. For the TYPE A citation, a copy of the Facility Evaluation Report LIC809/LIC809D, has to be posted on the wall and a copy to be given to all parents of currently and newly enrolled children for the next 12 months. In addition, copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports need to be signed and kept in child files. An exit interview was conducted, and Plan of Corrections were reviewed.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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 02/09/2024 08:18 AM - It Cannot Be Edited


Created By: Anna Morales On 02/08/2024 at 01:23 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BRACHER CHILDREN'S CENTER
FACILITY NUMBER: 430704133

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision(a)(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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 Whitney Lukanc stated that they have conducted retraining and implemented additional steps on supervision and accountability with staff during transition. No additional POC follow-up needed.
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This requirement was not met as evidenced by: A child was left unattended in the playground 1/30/2024. This poses an immediate risk to the health, safety, and personal rights to children in care.
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Upon receipt, Director shall post and provide copies of this licensing report, have LIC9224 signed and kept on file, to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. According to AB 633, parents must be provided with this report which contains this Type A deficiency for the next 12 months & copy of the signed acknowledgment form must be kept in each child's file.

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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:Gladys Kuizon
LICENSING EVALUATOR NAME:Anna Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/09/2024 08:18 AM - It Cannot Be Edited


Created By: Anna Morales On 02/08/2024 at 01:47 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BRACHER CHILDREN'S CENTER
FACILITY NUMBER: 430704133

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/26/2024
Section Cited
CCR
101212(b)

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101212 Reporting Requirements (b) The... child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
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Whitney Lukanc,Early Learning Program Specialist stated that she will submit Director's packet for S1 to the Department by 2/26/2024. Any future Director changes shall be reported to the Department within 10 days.
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This requirement is not met as evidenced by:
Based on interview, the facility did not report change of director to Community Care Licensing (CCL) for review within 10 days of a change of director. This poses a potential risk to the health, safety, and personal rights of children in care.
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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:Gladys Kuizon
LICENSING EVALUATOR NAME:Anna Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024


LIC809 (FAS) - (06/04)
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