013422432-5-27-2021-02-CC-ASIH-C3EQUV-20210527122923

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422432
Report Date: 05/27/2021
Date Signed: 05/27/2021 12:29:45 PM

Document Has Been Signed on 05/27/2021 12:29 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 FUTURE EARLY LEARNING CENTER		FACILITY NUMBER:	013422432
ADMINISTRATOR:	MCNAIR, LAURA		FACILITY TYPE:	850
ADDRESS:	1515 CLAY ST., STE. 146		TELEPHONE:	(510) 435-0768
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94612
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 0	CENSUS: 21	DATE:	05/27/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:			TIME COMPLETED:	12:35 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	On 05/27/2021 Licensing Program Analyst (LPA) Arminder Singh conducted an unannounced case management inspection regarding an unusual incident report that was received in the office on 05/25/2021. LPA met with the Director Ariel Llorente. Director is aware that an incident occurred where a child was left outside in the outdoor preschool play yard without supervision of an adult for at least 15 minutes. The child was not accounted for by the staff. The teacher was informed by the children who noticed that the child was outside in the play ground. Teacher immediately retrieved child and brought inside the facility. The child was checked for any sign of injury and was confirmed to be unharmed. A Type A deficiency was cited during this inspection. Licensee must provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, form LIC 9224 (Acknowledgment of Receipt of Licensing Reports) must be signed by each parent and placed in each child's file. A copy of the LIC 9224 was provided to the Licensee during the visit. A civil penalty is being assessed for one of the citations listed on this report. You will receive a bill in the mail. Payment is due when billed. Payment must be made by a personal, business or cashier check, or a money order made payable to the "California Department of Social Services". Please write the facility number and invoice number on your check and include a copy of your bill with the payment. You will find the invoice number on your bill. DO NOT SEND CASH. See 809- C Page

SUPERVISORS NAME: Ann Robinson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BRIGHT FUTURE EARLY LEARNING CENTER	FACILITY NUMBER: 013422432
	VISIT DATE: 05/27/2021

NARRATIVE

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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

An immediate $500 civil penalty is assessed today and $100 per day will be assessed until corrected. Subsequent violations are $1000 immediate civil penalty and $100 per day will be assessed until corrected.

An exit interview was conducted and the report, deficiency, civil penalty, plan of correction, and appeal right were discussed. Director was provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights.

Notice of site visit was provided and must be posted for 30 days.

SUPERVISORS NAME: Ann Robinson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/27/2021 12:29 PM - It Cannot Be Edited

Created By: Arminder Singh On 05/27/2021 at 08:47 AM

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 FUTURE EARLY LEARNING CENTER	FACILITY NUMBER: 013422432
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/28/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care & Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs (1) No child(ren) shall be left without the supervision of a teacher at any time [...] Supervision shall include visual observation. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	By 05/28/2021 Director agreed to submit a written plan to CCL on how she will ensure complete supervision of children in care at all times. By 06/03/2021 Director agreed to hold a staff meeting which will involve supervision requirements. Director will submit the meeting agenda and signatures of who attended.
	8 9 10 11 12 13 14	Per LPAs investigation and observations, C1 was left outside on playground unsupervised for at least 15 minutes. This poses an immediate risk to the health and safety of children in care. Immediate Civil penalty of $500 assessed.	8 9 10 11 12 13 14	Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be posted in the facility and given to each existing parent by the end of today or next day child is in care. Report also has to be provided to the parent of children who are enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file. A civil penalty of $ 500 was assessed and issued during today’s inspection.
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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:

Ann Robinson

LICENSING EVALUATOR NAME:

Arminder Singh

LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC809 (FAS) - (06/04)

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