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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400312
Report Date: 08/23/2024
Date Signed: 08/23/2024 01:30:43 PM

Document Has Been Signed on 08/23/2024 01:30 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT HORIZONS-SAN JOSEFACILITY NUMBER:
434400312
ADMINISTRATOR/
DIRECTOR:		REBECCA ADAMSFACILITY TYPE:
830
ADDRESS:6120 LISKA LANETELEPHONE:
(408) 225-3276
CITY:SAN JOSESTATE: CAZIP CODE:
95119
CAPACITY: 32TOTAL ENROLLED CHILDREN: 27CENSUS: 17DATE:
08/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:21 PM
MET WITH:Clair BradyTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA), Mandeep Kaur and Licensing Program Manager (LPM), Belinda Devall conducted a unannounced Case Management inspection and met with Site Director, Claire Brady. Purpose of today's inspection: reporting requirements: Title 22 Regulations.

Based on interviews, Licensee did not report the Unusual incident occurred on May 30, 2024 where a child (C1) was left unattended in Toddler Classroom 3. Director and Assistant Director stated that they were notified by the Regional Director(S2), to not to report the incident to the department since incident occurred for the short period of time.

LPA discussed and referred Site Director, Claire Brady to Title 22 section 101212(d) Reporting Requirements.

Exit interview conducted and report was reviewed with Site Director, Claire Brady.

A technical violation is issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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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