<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415097
Report Date: 11/16/2022
Date Signed: 11/21/2022 04:24:46 PM

Document Has Been Signed on 11/21/2022 04:24 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT LITTLE MINDS PRESCHOOL & DAYCAREFACILITY NUMBER:
434415097
ADMINISTRATOR:IVY LAUFACILITY TYPE:
850
ADDRESS:30 KIRK AVENUETELEPHONE:
4082167203
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 34DATE:
11/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:IVY LOUTIME COMPLETED:
04:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Page 1
Licensing Program Analyst (LPA) Stephanie Collins, conducted an unannounced Annual inspection of the Preschool. LPA met with Director IVY LAU and Josefina Giffin and explained the purpose of the visit, to conduct the annual inspection. Operating days and hours are Monday Friday 07:30 AM to 5:30 PM. The Preschool is located on the premises of Alum Rock Methodist Church. LPA observer 32 children and four staff supervising. Facility was observed to follow teacher and adult to child ratio requirement during inspection.
LPA reminded Director Ivy Lou of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license, and who come in contact with or provide care and supervision to the children. For an initial violation, civil penalty amounts to $100.00 per person up to $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person per day up to $3000.00 per person.
LPA inspected the building inside and out. The Preschool is located in classrooms 6,7,8 and 9. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were clean, disinfectants, cleaning solutions, poisons, sharps, and other items that are dangerous to children were stored inaccessible. Facility does not provide meals at this time due to COVID-19 pandemic and parents are asked to provide all meals until pandemic has past per the Public Health Department Trash cans for solid waste were observed to have had tight-fitting covers.
LPA observed a fully fenced in playground, equipment maintained in a good condition, free of hazards. Areas around and under high climbing equipment were cushioned with material that absorbs falls. There were no bodies of water observed. Director stated that facility does not have weapons on the premises. Drinking water is arranged to be readily available to children. Shade is provided by trees, building overhang and canopy, first aid kit was inspected. Smoke and Carbon Monoxide detectors were observed. Fire Extinguishers were fully charged. Log recorded that the last fire/disaster drill was conducted on 10/27/22. LPA reviewed facility's sign in/out procedure and record.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 11/21/2022 04:24 PM - It Cannot Be Edited


Created By: Stephanie Collins On 11/15/2022 at 01:36 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: BRIGHT LITTLE MINDS PRESCHOOL & DAYCARE
FACILITY NUMBER: 434415097

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on (record review), the licensee did not comply with the section cited above in 1 out of [3] MMR measles which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/22/2022
Plan of Correction
1
2
3
4
Director will submit Immunization (MMR)-Measles for staff Akanksha Grupta on or before POC date.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in [1] out of [1 ] [Mandated Reporter Training] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/22/2022
Plan of Correction
1
2
3
4
Director will submit proof of completion of Mandated Reporter Training on or before POC date
For staff: Josefina Griffin and Ellen Chellino.
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:Stephanie Collins
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2022


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: BRIGHT LITTLE MINDS PRESCHOOL & DAYCARE
FACILITY NUMBER: 434415097
VISIT DATE: 11/16/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2
A sampling of children files and all staff files was selected for review. Children records reviewed includes Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, Medical Assessment, and immunization. Personnel Records (all staff present) included Staff qualifications, Proof of immunization, Current pediatric CPR/First Aid Certification, TB Clearance or risk Assessment , LIC 503 Health screening Report, LIC 508 Criminal Record Statement, and LIC 9108 Statement Acknowledging Requirement to report child abuse . There was at least one person with documented current certification in Pediatric CPR/1st Aid present at the facility during LPA' inspection.
This facility does not provide Incidental Medical Services – IMS, per Director; currently the facility does not have any children in care who requires IMS. 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.

Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors, and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. The training is available at: https://www.mandatedreporterca.com

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

In the areas that were evaluated, Regulatory violations were observed at the time of the inspection. Exit interview was conducted, where this report was reviewed with Director.



A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3