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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419488
Report Date: 02/01/2024
Date Signed: 02/01/2024 11:59:06 AM

Document Has Been Signed on 02/01/2024 11:59 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BRIGHT HORIZONS AT DUBLINFACILITY NUMBER:
013419488
ADMINISTRATOR:NEIBERGER, SUSANFACILITY TYPE:
850
ADDRESS:7035 DUBLIN BLVDTELEPHONE:
(925) 479-9573
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 34DATE:
02/01/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Director, Susan Neiberger, Assistant Director,Caitlin CosgroveTIME COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Director Susan Neiberger and Assistant Director Caitlin Cosgrove for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility. In addition to the director, 34 children, and six (6) staff members are present today. The facility operates in Room #1(AKS Kindergarten Prep ), Room #2 (AKS Preschool), Room #3 ( AKS Early Preschool #2), and Room #4 ( AKS early Preschool #1) Monday - Friday from 8:00 am to 6:00 pm. The facility was inspected indoors and outdoors today for health and safety hazards, and the following was observed.
The facility has a working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. No bodies of water, firearms, or weapons are on the premises. All furniture is in good repair. The Center has age-appropriate toys and equipment. A first aid kit and a first aid backpack are available. Each child has a separate storage cubby labeled with their name. Each classroom has a cot in good condition. Per director, the blankets and sheets are laundered by the parents weekly. There are separate bathrooms for staff and children. The Center provides breakfast, lunch, and snacks. LPA reviewed food storage and observed that all food is in its original packaging or labeled with an expiration date. The menus are posted in each classroom.Medications are stored in the classrooms along with the emergency backpack, and some medicines are stored in the office.The last Emergency Drill was conducted on 01/26/2024 and is properly logged. The facility uses the My Bright Day app to sign the children in and out. The Center has a complete record of sign-in/out sheets by an authorized pick-up person. The outdoor play area is fenced for supervision. The play structure is age-appropriate and in good condition, with sufficient cushioning underneath. The children bring their water bottles, and the facility refills them using a Brita jug. The center roster was reviewed, and a copy was obtained. A review of eight (8) children's and eight (8) staff files was completed. All children have a record of emergency identification information and immunization records on file. All staff has a criminal record clearance on file. The opening and closing staff have a current Pediatric First Aid/CPR certificate on file. All the staff have current Mandated Reporter training on the file.
see next page..
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: BRIGHT HORIZONS AT DUBLIN
FACILITY NUMBER: 013419488
VISIT DATE: 02/01/2024
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During inspection,

Criminal Record Clearance -

Facility representative 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.

Lead Testing –


CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
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.

Incidental Medical Services (IMS)
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-care-centers/.

MyChildCarePlan.org
Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

No deficiency is cited today however one (1) technical violation was given.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Susan Neighbour
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC809 (FAS) - (06/04)
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