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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400313
Report Date: 05/24/2023
Date Signed: 05/24/2023 02:38:06 PM

Document Has Been Signed on 05/24/2023 02:38 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-SAN JOSEFACILITY NUMBER:
434400313
ADMINISTRATOR:REBECCA ADAMSFACILITY TYPE:
850
ADDRESS:6120 LISKA LANETELEPHONE:
(408) 225-3276
CITY:SAN JOSESTATE: CAZIP CODE:
95119
CAPACITY: 84TOTAL ENROLLED CHILDREN: 45CENSUS: 40DATE:
05/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Claire Brady & Emma NieTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Janette Cruz met with Emma Nie, Assistant Director and Claire Brady, Facility Director, to conduct an unannounced case management inspection. Purpose of today’s inspection: verify completion of the plans of correction resulting from the previous case management inspection completed on 05/09/23. Census was taken, LPA observed that child to staff ratio were in compliance during today's inspection.

The facility was issued the following Type A deficiency on 05/09/23:
1. HSC 1596.8595(a)(1)(3) Notice of Site Visit and copy of licensing reports from 4/28/23 were not posted in the facility during the inspection.
2. HSC 1596.8595(c)(1-4) Licensee did not comply to section cited above. LPA observed that LIC9224 Acknowledgement of Receipt of Licensing Reports for Type A Deficiency issued on 4/28/2023 have not yet been completed and signed by parents as per AB633 requirements.

LPA notes that plans of correction for Type A deficiencies cited on 05/09/23 were submitted by Shelley Gonzales, facility Regional Manager to LPA Cruz via email on 05/10/23.

Civil Penalty Assessment LIC421CC was completed and signed during today's visit.
No deficiencies cited during today's inspection. An exit interview was conducted with Claire Brady, facility Director.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2023
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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