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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012042
Report Date: 04/06/2022
Date Signed: 04/06/2022 02:15:21 PM

Document Has Been Signed on 04/06/2022 02:15 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BRIGHT HORIZONS CHILDREN'S CENTERFACILITY NUMBER:
198012042
ADMINISTRATOR:ESTELA PADILLA-SALAZARFACILITY TYPE:
830
ADDRESS:115 N. HOLLYWOOD WAYTELEPHONE:
(818) 526-0580
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 11TOTAL ENROLLED CHILDREN: 11CENSUS: 1DATE:
04/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Director, Estela Padilla Salazar TIME COMPLETED:
02:30 PM
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On 4/6/2022 Licensing Program Analyst (LPA) Dalicia Adkins arrived at Bright Horizons Children Center to conduct an unannounced case management visit. LPA Adkins was greeted by office manager, Covid 19 screening and survey conducted. LPA was cleared to proceed into the facility and was met by Director, Estela Padilla Salazar, LPA Adkins informed director about the purpose of the visit and guided on a tour of the facility. 1 infant and 1 teacher present during this visit.

The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE). LPA collected a copy of result analyses from samples received by the laboratory on 3/24/2022 and work order documentation. LPA took pictures of faucets.

Today 4/6/2022 Director contacted LPA to report lead testing results. LPA was notified that lead water testing conducted on 3/22/22 indicated levels of lead in exceedance. This sample taking is a follow up of lead testing conducted on 2/2/22 which indicated levels of lead exceedance. Plan of Correction (POC) issued for samples taken on 2/2/22, this deficiency corrected and cleared on 3/24/222. Director followed Written Directives in PIN 21-21 CCP for lead water testing. Licensing Forms completed; 9275, 9276 and facility sketch submitted. Notification sent out to parents, water outlet flushed (not in use), water conditioning for 3 weeks, water filter installed onto outlet and Large Water Dispenser; readily available filtered drinking water.

Director stated that facet D will continue with the second phase of corrective actions. Faucet will be removed and replaced with entire new outlet. LPA observed faucet to be not in use; covered and labeled with bagging. Director stated that the facility has not been using faucet D and children/staff do not use the room.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BRIGHT HORIZONS CHILDREN'S CENTER
FACILITY NUMBER: 198012042
VISIT DATE: 04/06/2022
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For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention. PIN 21-21-CCP contain written directives for lead testing of water in licensed child care centers per AB 2370.

No deficiencies cited during this visit.


LPA Adkins provided technical assistance and exit interview conducted.

This report reviewed with licensee and copy provided.

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SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC809 (FAS) - (06/04)
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