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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400312
Report Date: 07/12/2021
Date Signed: 07/12/2021 06:36:24 PM

Document Has Been Signed on 07/12/2021 06:36 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT HORIZONS-SAN JOSEFACILITY NUMBER:
434400312
ADMINISTRATOR:REBECCA ADAMSFACILITY TYPE:
830
ADDRESS:6120 LISKA LANETELEPHONE:
(408) 225-3276
CITY:SAN JOSESTATE: CAZIP CODE:
95119
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
07/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Adams, RebeccaTIME COMPLETED:
05:34 PM
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On this day an unannounced Inspection was conducted by Licensing Program Analyst (LPA) Almaraz,Celi in accordance with Community Care Licensing (CCL), Title 22, Division 12 Chapter 1; governing Infant Child Care Centers. This facility is currently licensed for a capacity of 32 infants. LPA met with Director Adams, Rebecca. The hours of operation are 7:00 AM to 6:30 PM, Monday through Friday (M-F), due to lower enrolment this program is currently operating from 8:30 AM to 6:00 PM, M-F. LPA was taken on a guided tour of this facility of both indoors and outdoors. During the site inspection, there was a total census of 6infants present and 2 teachers/staff. All areas on the facility sketch were observed, identified and inspected. This is a triple component facility, also licensed for pre school # 434400313 and School age 434400314; the following was observed during the inspection of this facility:

Physical Plant:
Toddler Room 2: Upon arrival room had no infants and no staff. Access to two sinks, drinking water and refrigerator/s located inside classroom. Toddler Room 3: Upon arrival room had two teachers with six infants. Access to two sinks, drinking water located inside classroom and refrigerator/s. Teacher and infant ratios were observed and staff names recorded. Infant Room 1: Upon arrival room had no infants and no staff. Access to two sinks, drinking water and refrigerator/s located inside classroom. Infant Room 2: Upon arrival room had no infants and no staff. Access to two sinks, drinking water and refrigerator/s located inside classroom. All infants in care currently are over one years old and are in walking stage. Infants have cubby to store belongs separate. RAST procedures being followed and COVID preventative measures being taken.

Infant playground: Outdoor equipment was inspected for safety, cushioning material, good repair and appropriateness. Required shade, drinking water (Brita water filter) and fencing were inspected. LPA advised that the Infants need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. Play area was inspected for hazards and inaccessibility to bodies of water. No hazards or bodies of water observed. Sand box is covered at the end of each day, inspected before each use. 1/4
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2021
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: BRIGHT HORIZONS-SAN JOSE
FACILITY NUMBER: 434400312
VISIT DATE: 07/12/2021
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The facility was inspected to ensure that it is clean, safe, sanitary and in good repair to ensure the safety and well being of infants, employees and staff. Furniture and equipment was observed to be free of sharp, loose, or pointed parts. LPA did not observe any baby walkers or any items that fall into that category present in the facility. There is a cubby room that may isolate a sick child. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to infants are stored in an area inaccessible. Facility is free of flies, insects and rodents. There is a secure fishtank in lobby and bird cage. No hazards observed.

Menus: Menus are posted one week and in advance, where it is visible by the infants authorized representative, menus up to one year are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. Facility provides AM and PM snacks; infants bring their own lunch. Director understands facility shall have an individual feeding plan for each infant that meets licensing requirements, this shall include feeding schedule and all bottles be labelled. LPA observed dishes and containers labeled. Food preparation areas were toured for safety, cleanliness and proper equipment. Refrigerators reviewed for appropriate temperature.

Napping equipment: Mats/cots, cribs, changing tables and bedding inspected for good condition, appropriate storage, cleanliness and age appropriateness. Mats/cots labeled with infants name and disinfected daily. Changing tables disinfected between each use. Bedding and linens labelled and laundered on site daily. LPA observed that infant changing tables are within an arm’s reach of a sink. LPA observed sufficient infant napping equipment that meets the requirements of Title 22 regulations. Staff shall physically check on sleeping infant every 15 minutes.

First Aid and Fire safety: First Aid supplies and backpacks were observed in the classrooms. Medication is only administered to an infant when accompanied with a doctor's note and is stored in the office. Carbon monoxide detectors and smoke detectors are and working present in the facility. There is fire extinguisher , size 3A40BC, last serviced on 11/19/2020; accessible to all areas. Last fire drill was on 06/30/2021, Director understands the requirement to conduct fire/disaster drills every 6 months. The emergency exit doors are accessible. The emergency disaster plan is posted in an area where it is visible to staff, parents and authorized parent representatives.

Personal Rights: Teacher-infant ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs and personal rights of infants are met and appropriate. Personal Rights of children were observed by LPA. 2/4

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: BRIGHT HORIZONS-SAN JOSE
FACILITY NUMBER: 434400312
VISIT DATE: 07/12/2021
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Facility Records: LPA obtained current children's roster. Sign-in and out sheets and procedures were reviewed. Children’s Records were reviewed for completeness; Inspection of required forms was made. LPA issued Children's record review (LIC 857) and Staff records review (LIC 859) to Director. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Criminal Record Clearances were reviewed for adults. At least one staff has valid CPR card (02/15/2023). Inspection of required postings made,visible in health check station area where parents are doing drop off/pick up. Director states facility is in process of implementing electronic sign in/out. Temperatures being taken and recorded for best practice.

Incidental Medical Services. 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

The following was discussed with Director: Rooms that are off-limits need to be made accessible during operating hours. Smoking is prohibited. No infant walkers, no Johnny Jumpers, no excersaucers or any other item that falls into that category are allowed in facility. Inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. LPA referred Director to further information on infant safe sleep and CCLD approved safe sleep regulations in effect. LPA advised Director to stay informed on PIN updates via email. SB792 (Immunization Requirements for Staff and Employees) was discussed.

AB1207 Mandated Child Abuse Reporting – Any person who works in a child care facility shall complete the training and renew the training every 2 years. The fire extinguisher type 2A40BC or larger must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. 3/4
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: BRIGHT HORIZONS-SAN JOSE
FACILITY NUMBER: 434400312
VISIT DATE: 07/12/2021
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Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. The Director was advised all trash bins shall have a foot pedal option.

LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Director to log onto web site www.ccld.ca.gov to obtain forms and LIVE SCAN application. Records for all children and staff must be maintained for three (3) years after separation from the facility. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation. Director advised to visit www.shotsforschool.org for immunization information.

Director advised that indoor and outdoor supervision required at all times. These forms may also be downloaded from our website: www.ccld.ca.gov

There are no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1

NOTICE OF SITE VISIT ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.*****4/4
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4