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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415530
Report Date: 05/14/2021
Date Signed: 05/14/2021 02:53:53 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2021 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210303111230
FACILITY NAME:BRIGHT HORIZONS AT SUNNYVALEFACILITY NUMBER:
434415530
ADMINISTRATOR:DONALDSON, KIMEESEANFACILITY TYPE:
850
ADDRESS:1010 SUNNYVALE-SARATOGA AVENUETELEPHONE:
(669) 241-0040
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:160CENSUS: 87DATE:
05/14/2021
ANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kimeesean DonaldsonTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not properly store documents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Oscar Huang conducted an announced tele-inspection via FaceTime with Kimeesean Donaldson, Director to deliver investigation findings.

Based on information gathered from interviews with staff, provided documents and records, and LPA's own observations during the course of complaint investigation for the complaint listed above, LPA learnt that although facility maintained children information and records digitally, however, an Unusual Incident Report was needed to be printed for obtaining the parents signature that was handled by paper where it can possible be revealed by irrelevant others when staff sometimes placed the report face-up in the openly accessible container.

LPA therefore concludes that the preponderance of evidence standard has been met and the allegation listed above is therefore SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12) is being cited on the attached LIC 9099-D.

Exit interview was conducted, where this report, the citation, plan of correction, and appeal rights were discussed with Kimeesean. LPA Huang informed her that due to the COVID-19 shelter-in place order, today's Complaint Investigation Report (LIC 9099, 9099-D), Appeal Rights, a copy of the Notice of Site Visit will be emailed to her (Kimeesean Donaldson <Kimeesean.Donaldson@brighthorizons.com> with a "read receipt" notification. Kimeesean agreed to respond to LPA's email within 24 hours acknowledging receipt of today's report.

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.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 07-CC-20210303111230
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 AT SUNNYVALE
FACILITY NUMBER: 434415530
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2021
Section Cited
CCR
101221(C)(1)
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Child's Records: The licensee shall be responsible for safeguarding the confidentiality of record contents. Some Unusual Incident Reports were placing face-up in the openly accessible container may be revealed by irrelevant others.
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The facility shall educated its staff for maintaining children information and records with confidentiality which includes having contents are always placed facedown if managed by paper. Facility to submit its next staff meeting agenda that includes this topic and with staff signatures prior to the POC due date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
LIC9099 (FAS) - (06/04)
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