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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412709
Report Date: 12/05/2022
Date Signed: 12/05/2022 11:28:41 AM

Document Has Been Signed on 12/05/2022 11:28 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT STARZFACILITY NUMBER:
434412709
ADMINISTRATOR:MARIA NAVARROFACILITY TYPE:
850
ADDRESS:810 WASHINGTON STREETTELEPHONE:
(408) 564-0863
CITY:SANTA CLARASTATE: CAZIP CODE:
95050
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 21DATE:
12/05/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maria NavarroTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Mel Matos met with Maria Navarro, Licensee/director, for an unannounced case management inspection. Purpose of today's inspection: Reconstruction of storage garage, located in the playground area of the Facility.

LPA toured the playground area and observed that the storage garage has been rebuilt. Maria states that the exterior/interior needs some final finish work, including painting. Maria states that the remaining finish work will be completed on the weekends, contingent on the weather.

The dimensions of the storage garage have remained the same. Maria understands that the storage garage cannot be used as "classroom space".

Maria states that the Facility will be closed from December 23, 2022 to January 8, 2023 for the Christmas/New Years holiday.

Exit interview conducted and report was reviewed with Maria Navarro, Licensee/director. No deficiencies issued during today's inspection. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2022
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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