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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400084
Report Date: 12/29/2022
Date Signed: 12/29/2022 03:58:53 PM

Document Has Been Signed on 12/29/2022 03:58 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT HORIZONS CHILDREN'S CENTERFACILITY NUMBER:
434400084
ADMINISTRATOR:YAMAKI, LESLIEFACILITY TYPE:
850
ADDRESS:10253 NORTH PORTAL AVENUETELEPHONE:
(408) 366-1963
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 74TOTAL ENROLLED CHILDREN: 43CENSUS: 25DATE:
12/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Loraine PerezTIME COMPLETED:
04:10 PM
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Licensing Program Analysts (LPAs) Marilou Monico and Ashley Lopez conducted an unannounced Required - 1 Year Inspection. LPAs met with Assistant Site Director, Loraine Perez, and explained to her the purpose of the today's visit. Facility's License, Notification of Parents’ Right Poster, Child Car Seat Law, Personal Rights (LIC 613A), Emergency Disaster Plan, Menus, Activity Schedule, and Earthquake Preparedness Checklist were observed to be posted. The center's operating hours are Monday through Friday 08:00 AM to 6:00 PM. The Preschool Program utilizes four classrooms: Rainbow, Red, Yellow, and Purple. The facility serves children ages 2 years old to entry into kindergarten.

The indoor and outdoor areas were toured. LPAs observed that the facility was operating in compliance with teacher to children ratio requirement. Cleaning products, disinfectants, sharp objects were stored inaccessible to children. Furniture and equipment were observed to be age appropriate and in good condition. The facility is clean. The staff and children's bathrooms are clean, sanitary, and operable. Loraine stated that the facility has third party cleaning service that comes after daycare hours to clean the facility.

The facility provides morning and afternoon snacks to children. Parents have the option to bring lunch for their children or purchase from "My Green Lunch." Foods and beverages were kept protected against contamination and spoilage. There is a kitchen at the facility for food preparation. The kitchen is equipped with refrigerators, microwave, oven, stove, dishwasher, and a sink with hot and cold running water. Drinking water is available for the children indoor via pitchers and cups and individual water bottles. LPAs observed trash cans with tight fitting lids for the disposal of solid waste. Fire extinguisher, working smoke and carbon monoxide detectors were observed.

Loraine stated that there are no firearms in the facility. Drinking water is readily available for the children outdoor via pitchers and cups and individual water bottles. The playgrounds are surrounded by appropriate fencing and the outdoor surfaces are safe. Shades are provided by canopy and several trees. LPAs observed tanbarks as resilient material under and around the climbing structures and swing. There were no bodies of water observed.

Continuation on next pages:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/29/2022
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: BRIGHT HORIZONS CHILDREN'S CENTER
FACILITY NUMBER: 434400084
VISIT DATE: 12/29/2022
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LPAs reviewed 10 children's files. Children records reviewed include Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, receipt of Parent Rights Notice, Personal Rights Notice, Physician's Report, Medical Assessment, Immunization, and TB test.

Two (2) staff files were reviewed. Staff records reviewed include Criminal Record Statement (LIC 508), Personnel Record, Employee Rights, Statement Acknowledging Requirement to Report Child Abuse, Health Screening Report with TB Clearance, Immunizations (Measles, Pertussis, and Influenza) and required training. LPAs reminded Assistant Site Director that the Mandated Reported Training shall be renewed by all staff every two years. At least one staff member present during the inspection has current Pediatric CPR/First Aid certifications.

This facility provides Incidental Medical Services IMS. LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Assistant Site Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Continuation on next page:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CENTER
FACILITY NUMBER: 434400084
VISIT DATE: 12/29/2022
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The following items must be submitted to Licensing by January 29, 2023:
1) Designation of Facility Responsibility (LIC 308)
2) Updated Application for Child Care Center License (LIC 200A)

As a result of this inspection, there were no deficiencies cited.

Exit interview conducted and report was reviewed with Assistant Site Director, Loraine Perez.

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: 12/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022
LIC809 (FAS) - (06/04)
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