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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408813
Report Date: 03/15/2023
Date Signed: 03/15/2023 04:12:44 PM

Document Has Been Signed on 03/15/2023 04:12 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 JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT HORIZONS AT LOS GATOSFACILITY NUMBER:
434408813
ADMINISTRATOR:ANDREW TRYFOROSFACILITY TYPE:
830
ADDRESS:220 BELGATOS ROADTELEPHONE:
(408) 356-7989
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY: 34TOTAL ENROLLED CHILDREN: 26CENSUS: 18DATE:
03/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Shelley GonzalesTIME COMPLETED:
04:20 PM
NARRATIVE
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Licensing Program Analyst (LPA), Kassandra Medrano, conducted an unannounced Case Management Inspection in response to an unusual incident that the facility self reported to Community Care Licensing (CCL). LPA met with the Regional Manager (RM), Shelley Gonzales, and explained the nature of today's inspection. There were 18 children at the facility today along with 8 staff.

This visit was made to inquire about an unusual incident that occurred on February 15, 2023.

During today's visit LPA Medrano toured the facility,interviewed staff, reviewed the facility's supervision policy, and obtained copies of pertinent information. Based on staff interviews, as well as the self reported incident report. On February 15th,2023, a child was left behind on the playground for approximately 30 seconds while they transitioned into classroom from outdoor play.RM stated that Bright Horizons has implemented a tracking system which is online and named "Oragami." This system has been in for this facility since approximately November. The system logs incidents from 2 minutes and above, so time reflected on incident report is not correct it was only what system allowed.

Prior to today's the staff were placed on leave and prior to staff returning into ratio Director, Andrew Tryforos held a training for staff involved. The training's covered care, supervision, and tracking of children.

No deficiencies cited, exit interview conducted, and a copy of this report was provided and reviewed with the Regional Manager, Shelley.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2023
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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