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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400083
Report Date: 02/02/2022
Date Signed: 02/02/2022 11:39:52 AM

Document Has Been Signed on 02/02/2022 11:39 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT HORIZONS CHILDREN'S CENTERFACILITY NUMBER:
434400083
ADMINISTRATOR:YAMAKI, LESLIEFACILITY TYPE:
830
ADDRESS:10253 NORTH PORTAL AVENUETELEPHONE:
(408) 366-1963
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 6DATE:
02/02/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:Leslie YamakiTIME COMPLETED:
11:55 AM
NARRATIVE
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Licensing Program Analyst (LPA) Marilou Monico conducted a case management inspection regarding an unusual incident that was reported by the facility to Licensing on January 27, 2022. LPA toured the facility, interviewed staff, reviewed files, and obtained copies of documents.

Based on interviews and evidence gathered, it was determined that on January 25, 2022, a 17-month-old child was found by a staff member unattended in the grass area outside the toddler yard. This poses an immediate risk to the health, safety, and personal rights to children in care.

As a result of this inspection, deficiency was cited on next page.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2022
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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Document Has Been Signed on 02/02/2022 11:39 AM - It Cannot Be Edited


Created By: Marilou Monico On 02/02/2022 at 10:23 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BRIGHT HORIZONS CHILDREN'S CENTER
FACILITY NUMBER: 434400083

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/03/2022
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and 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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Site Director states that an All Staff Meeting was conducted via Zoom Meeting on 02/01/22. The meeting includes supervision, headcounting, best practices, etc. Site Director states that she will submit a detailed plan to ensure that children are supervised at all times, All Staff Meeting agenda, and list of staff who attended the meeting by 02/03/22.
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This requirement was not met as evidenced by: A child was found by a staff member unattended in the grass area outside the toddler yard on January 25, 2022. This poses an immediate risk to the health, safety, and personal rights to children in care.
An immediate civil penalty of $500 was assessed.
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Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

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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:Joel Segura
LICENSING EVALUATOR NAME:Marilou Monico
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2022


LIC809 (FAS) - (06/04)
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