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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415928
Report Date: 04/07/2023
Date Signed: 04/07/2023 05:37:18 PM

Document Has Been Signed on 04/07/2023 05:37 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BRIGHT HORIZONS AT GARNERFACILITY NUMBER:
013415928
ADMINISTRATOR:MAGABO, THERESAFACILITY TYPE:
850
ADDRESS:2275 NO. LOOP ROADTELEPHONE:
(510) 769-5437
CITY:ALAMEDASTATE: CAZIP CODE:
94502
CAPACITY: 174TOTAL ENROLLED CHILDREN: 174CENSUS: 83DATE:
04/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:49 PM
MET WITH:Theresa MagaboTIME COMPLETED:
05:45 PM
NARRATIVE
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On 4/7/23 at 3:45pm, Licensing Program Analyst (LPA) Catherine Fernandes arrived on a case management visit and met with Assistant Director Amanda Hoxie soon after Director Theresa Magabo arrived. There were 83 children present in care and an additional 15 staff members.

The purpose of the visit was due to a self reported incident that was sent to the Oakland Regional office regarding a staff member violating the a child's personal rights by accidentally injuring a child while removing plastic cup. The center conducted an investigation regarding the incident and the staff member is on administrative leave until further review.


While at the center LPA Fernandes interviewed staff and obtained statements regarding the incident.


See 809D for the deficiencies.

Notice of site provided.

Exit interview conducted with Director Magabo
Report and Appeal Rights Provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2023
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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Document Has Been Signed on 04/07/2023 05:37 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 04/07/2023 at 05:17 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT HORIZONS AT GARNER
FACILITY NUMBER: 013415928

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/05/2023
Section Cited
CCR
101223(a)(1)

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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement has not been met as evidenced by:
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Center will come with a contract and a staff training then send a statement of completion to CCL by POC date.
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Based on interview, the teacher violated the children's personal rights which poses a potential safety risk to children in care.
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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:Mayla Mendoza
LICENSING EVALUATOR NAME:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2023


LIC809 (FAS) - (06/04)
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