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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005301
Report Date: 01/25/2024
Date Signed: 01/26/2024 08:44:56 AM

Document Has Been Signed on 01/26/2024 08:44 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BRIGHT STARS INFANT CENTERFACILITY NUMBER:
214005301
ADMINISTRATOR:NAHID TALEBLOOFACILITY TYPE:
830
ADDRESS:1055 LAS OVEJAS AVENUETELEPHONE:
(415) 310-7543
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 11DATE:
01/25/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Nahid TaleblooTIME COMPLETED:
04:55 PM
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On January 25, 2024 at approximately 1:14pm, Licensing Program Analysts (LPAs) Nasiripour and Leong conducted an Unannounced Annual Visit and met with Facility Representative / Teacher, Matilde Arevalo De Rosa. Purpose of the inspection was explained. There are 11 infants 5 staff members. Facility is operating within capacity limits and ratio during LPAs visit. All staff present have fingerprint clearance on file. During the visit, at approximately 2:15pm, Director Nahid Talebloo joined and remained with LPAs for remainder of inspection.

LPAs inspected the day care areas for health and safety hazards with Director. Program separates the infant children between two classrooms (Room #7 and Room #8) based on ages 0-1 and 1-2. LPAs observed both classrooms to have proper temperature and ventilation.

Infant classroom (Room #7) was observed to contain two infant sleep-sacks, and multiple cleaning supplies (detergent, bleach, dish soap, disinfectant wipes) that were not made inaccessible to children. LPAs also observed three baby-rockers in the classroom, that were not in use. Director removed all cleaning supplies and placed them in areas inaccessible to children. Second Infant classroom (Room #8) was also observed to contain multiple cleaning supplies (detergent, bleach, dish soap, disinfectant wipes) that were not made inaccessible to children, on high shelves, with LPAs present. Director removed all cleaning supplies and placed them in areas inaccessible to children, on high shelves, with LPAs present.

Both Infant classrooms are separated into multiple sections that includes areas for infant eating, crawling / "tummy time" and sleeping. Flooring in infant classroom includes carpets and rugs that were observed to be clean and in good condition. There are two diaper changing tables in both classrooms that are within reasonable reach to an adult sink and separate from where children eat. Garbage bins to dispose of soiled diapers were observed to have tight fitting lids. LPAs observed cabinets and drawers to have child safety locks installed. Sleeping areas for infants were observed to include cots in Room #8 and cribs in Room #7. LPAs observed cribs to be free of loose articles, materials and objects. Cribs were observed to have mattresses with tight fitting sheets. LPAs observed program to maintain sleeping logs for all napping infants. Sleeping logs included the 15 minute time checks of when the napping infants were last checked on, relative comments staff may have about the infants while sleeping, and the signature of the staff member checking on the infants.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2024
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT STARS INFANT CENTER
FACILITY NUMBER: 214005301
VISIT DATE: 01/25/2024
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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.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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.

The Director 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.

The director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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/.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
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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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT STARS INFANT CENTER
FACILITY NUMBER: 214005301
VISIT DATE: 01/25/2024
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Facility was also informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPAs discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018 all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Pesticide regulations were discussed with the Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

Please refer to LIC 809D for today's citation

Today's citation was cleared on the same day, 1/25/2024.

A Cleared POC letter was given to the director.

An exit interview was conducted, and Plans of Corrections (POC) were developed and reviewed with the Director. A copy of this report and appeal rights were discussed and left with Director whose signature on this form confirm receipt of these reports. Notice to remain posted for 30 days
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/26/2024 08:44 AM - It Cannot Be Edited


Created By: Yasha Nasiripour On 01/25/2024 at 04:28 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BRIGHT STARS INFANT CENTER
FACILITY NUMBER: 214005301

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101430(a)(3)(C)
Infant Care Activities
(C) An infant shall not be swaddled while in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 01/25/2024
Plan of Correction
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LPAs observed sleep sacks were removed from the facility. Citation was cleared today, 1/25/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ali Zebila
LICENSING EVALUATOR NAME:Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2024


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