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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005557
Report Date: 12/14/2023
Date Signed: 12/14/2023 01:29:26 PM

Document Has Been Signed on 12/14/2023 01:29 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BRIGHT STARS CHILDREN'S CENTERFACILITY NUMBER:
214005557
ADMINISTRATOR:TALEBLOO, NAHIDFACILITY TYPE:
850
ADDRESS:199 GREENFIELDTELEPHONE:
(415) 310-7543
CITY:SAN RAFAELSTATE: CAZIP CODE:
94901
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 10DATE:
12/14/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Irma De LeonTIME COMPLETED:
01:30 PM
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On 12/14/2023, Licensing Program Analyst (LPA) Hanson Leong, made an unannounced Plan of Correction (POC) visit to the child daycare facility listed above. This facility also operates an infant program under license number 214005558. The LPA was granted entry by one of the teachers, Irma De Leon. The purpose of the visit was to follow up with the 2 deficiencies that were identified on 12/5/2023. The LPA explained the purpose of the visit to Ms. De Leon. Present in the facility: 2 staff members and 10 preschool aged children. All individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The facility is operating within its capacity and in accordance with the required ratio of staff to children.

The LPA observed that the facility did not retain an emergency drill log, and the facility claimed that on 12/5/2023, they did not perform emergency drills in calendar year 2023. During today's visit, an emergency drill record was reviewed, and it was found that the facility's emergency drills were properly logged. A video of the emergency drill was also provided to the LPA. Ms. De Leon was reminded by the LPA to conduct emergency drills every 6 months and to keep accurate records of them.

During today’s visit, the 2 deficiencies, CCR 101174(d) and CCR 101174(d)(2) that were identified on 12/5/2023 will be cleared on 12/14/2023.

A copy of today’s report and the Cleared POC Letters were given to Irma De Leon. A Notice of Site Visit was given to Irma De Leon and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Irma De Leon.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2023
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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