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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412709
Report Date: 02/21/2024
Date Signed: 02/21/2024 02:45:55 PM

Document Has Been Signed on 02/21/2024 02:45 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 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: 17CENSUS: 17DATE:
02/21/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Maria NavarroTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Mel Matos met with Maria Navarro, Licensee/director, for an unannounced case management inspection. LPA also observed 17 napping preschool children with one aide (Maria Torres) and one volunteer student in the Facility during today's inspection.

LPA reminded Maria that she needs to obtain copies of updated flu vaccines from staff each year or obtain signed flu vaccination "opt out" forms from each staff. LPA provided a sample flu vaccination "opt out" form to Maria during today's inspection.

LPA advised Maria that she must have complete files for any staff person(s) that has criminal record and child abuse clearances & works directly with the children.


Exit interview conducted and report was reviewed with Licensee/director, Maria Navarro. 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: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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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