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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808517
Report Date: 12/14/2021
Date Signed: 12/14/2021 12:12:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BRIGHTEN ACADEMY PRESCHOOLFACILITY NUMBER:
103808517
ADMINISTRATOR:PETERSON, KRISTINFACILITY TYPE:
850
ADDRESS:1825 AUSTIN AVE.TELEPHONE:
(559) 294-1310
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:162CENSUS: 142DATE:
12/14/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director - Becky IharaTIME COMPLETED:
12:20 PM
NARRATIVE
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On 12/14/2021, Licensing Program Analysts (LPAs) Luisa Gavoutian and Jeovanna Yanez conducted an unannounced case management inspection. LPAs met with Director Becky Ihara. The purpose of today’s inspection was to address an incident that occurred on 05/14/2021, which was not reported to Community Care Licensing (CCL).

LPA Yanez reviewed Staff 1’s records while at a different Brighten Academy location (LIC# 103810118) and found an incident report in Staff 1’s file that described an incident, which was not reported to CCL. The report described an incident where Child 1 was left outside on the playground without supervision for 17 minutes. The Honeybees and Caterpillars classrooms were outside at the time of the incident, 10:15 a.m. Director stated that there were 23 children and four staff present outside between the two classrooms. Staff 1 and Staff 2 had been the supervising staff of the Honeybees classroom and had failed to perform a sweep during inside transition to ensure no child was left behind. Facility Directors met with Staff 1 and Staff 2 and discussed the severity of the situation and explained the importance of checking the play grounds during transitions to ensure no child is left outside. Section 101229(a)(1) of the California Code of Regulations (CCR) states, “No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.” Director stated that since the incident, the facility has installed a whiteboard at the playground where staff can write the names of the children present outside in order to do more accurate headcount. The facility makes an effort to have additional staff do a sweep of the playground once children line up to transition inside in order to ensure no child is left on the playground. The facility has included the importance of doing head counts as part of the employee handbook, which is provided to all new staff during training, and reviewed with all new and existing staff annually. A civil penalty is being assessed today.

(Continued on LIC 809-C)

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: BRIGHTEN ACADEMY PRESCHOOL
FACILITY NUMBER: 103808517
VISIT DATE: 12/14/2021
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Furthermore, a review of the facility’s file indicated that the facility failed to report the incident to CCL, as required. LPAs discussed reporting requirements with the Director and the responsibility of the facility to report all unusual incidents to CCL within 24 hours of occurrence. CCR Section 101212(d)(1)(C) states, “(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.” Furthermore, Section 101212(f) states that incidents specified in section (d)(1) should also be reported to the child’s parent/authorized representative. Director stated that Child 1’s parents were verbally notified of the incident. Information to be included on the report shall include the child’s name, age, sex, date of admission, date and nature of event, and disposition of the case. Alternatively, the facility can complete form LIC 624 – Unusual Incident/Injury Report.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies were found: (see LIC809-D). Exit interview conducted and report was reviewed with the Director Becky Ihara.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.



A notice of site visit was given and must remain posted for 30 days, along with a copy of this report.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BRIGHTEN ACADEMY PRESCHOOL
FACILITY NUMBER: 103808517
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/14/2022
Section Cited

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Responsibility for Providing Care and Supervision; No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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Based on record review and interview, facility representatives failed to provide supervision in that Child 1 was left outside on the playground without supervision for 17 minutes. This poses an immediate threat to the health, safety, or personal rights of children.
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Centers” available on CCL website, to include in the staff meeting. The meeting agenda and list of attendees shall be submitted to CCL by 01/14/2022.

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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.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BRIGHTEN ACADEMY PRESCHOOL
FACILITY NUMBER: 103808517
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/21/2021
Section Cited

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Reporting Requirements; Upon the occurrence… of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day… In addition, a written report… shall be submitted to the Department within seven days… This requirement was not met as evidenced by:
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Based on record review, facility representatives failed to report the incident of Child 1 being left unsupervised to the Department. This poses a potential risk to the health, safety, or personal rights of children.
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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.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4