434416403-6-13-2024-07-CC-SYIP-D6825W-20240613170613

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416403
Report Date: 06/13/2024
Date Signed: 06/13/2024 05:06:19 PM

Document Has Been Signed on 06/13/2024 05:06 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 HORIZONS AT SKYPORT		FACILITY NUMBER:	434416403
ADMINISTRATOR:	MITZY GARCIA		FACILITY TYPE:	850
ADDRESS:	90 SKYPORT DRIVE, SUITE 100		TELEPHONE:	(408) 606-9010
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95110
CAPACITY:	136	CENSUS: 78	DATE:	06/13/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:38 PM
MET WITH:	Mitzy Garcia		TIME COMPLETED:	05:10 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	Licensing Program Analysts (LPAs) Samantha Yip and Jennifer Beehler conducted an unannounced annual/random inspection. LPA met with Director Mitzy Garcia and explained the reason for the inspection. Present during today's inspection were 78 children and at least 12 staff. The center has a waiver to share the Room #125 and Room #101 with the infant program. There is an area to post required postings, such as license, notification of parent's rights, and car seat law. The hours of operation are Monday through Friday 7:30AM to 6PM. LPA reviewed sign in/out. LPAs toured the inside and outside of the center with Director. Disinfectant, cleaning supplies, and other items that could pose a risk to children were inaccessible. LPA discussed with Director that anything that states keep out of reach of children, such as Windex and swifter wipes, needs to be locked. The floor was free of tripping hazard. There are toys and equipment for children, which were age-appropriate. Director stated that there are no weapons, such as firearms, stored on the premise. There is a fully charged fire extinguisher, smoke detector, and carbon monoxide. The outdoor activity space is fenced. There is a waiver for outdoor square measurement. LPA observed that the schedule was posted. Area around play structure has resilient material. Shaded rest area is provided through canopy. There were no bodies of water observed during today's inspection. -------------------continues on 809 dated 06/13/2024 page 2------------------------

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 SKYPORT	FACILITY NUMBER: 434416403
	VISIT DATE: 06/13/2024

NARRATIVE

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----------------continuation of 809 dated 06/13/2024 page 1------------------------

All meals are prepared and brought from home or parents can purchase meals through a third party. Facility only offers snacks to children. Drinking water is provided through individual water bottles and water pitchers. Snack menu was observed to be posted.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

A copy of the facility roster was obtained. 10 children's files were reviewed during today's inspection. The record reviewed include but not limited to physician's report and immunization records.

--------------------continuation of 809 dated 06/13/2024 page 3--------------------

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 SKYPORT	FACILITY NUMBER: 434416403
	VISIT DATE: 06/13/2024

NARRATIVE

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10 staff files were reviewed. The records reviewed include but not limited to education credit, immunization records, and health screening. There is at least one staff with a valid CPR/1st Aid, which expires on 08/2025.

All staff present have cleared criminal record and child abuse index. Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871,
must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Director will submit the following:
- C-1's updated physician's report
- C-2's physician's report that shows the risk screening for TB was checked off
- LIC 9275 and LIC 9276
- transcript for S-1 and S-2

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with Director Mitzy Garcia. A notice of site visit has been issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2024

LIC809 (FAS) - (06/04)

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