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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415531
Report Date: 05/14/2021
Date Signed: 05/14/2021 02:51:26 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2021 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210303112649
FACILITY NAME:BRIGHT HORIZONS AT SUNNYVALEFACILITY NUMBER:
434415531
ADMINISTRATOR:DONALDSON, KIMEESEANFACILITY TYPE:
830
ADDRESS:1010 SUNNYVALE-SARATOGA AVENUETELEPHONE:
(669) 241-0040
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:80CENSUS: 28DATE:
05/14/2021
ANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Kimeesean DonaldsonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Oscar Huang conducted an announced tele-inspection via FaceTime with Kimeesean Donaldson, Director to deliver investigation findings.

Based on information gathered from interviews with staff, provided documents and records, and LPA's own observations during the course of complaint investigation for the complaint listed above, LPA learnt that sometimes aide was giving breaks & lunches to teacher and was supervising infants alone by herself.

LPA therefore concludes that the preponderance of evidence standard has been met and the allegation listed above is therefore SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12) is being cited on the attached LIC 9099-D.

Exit interview was conducted, where this report, the citation, plan of correction, and appeal rights were discussed with Kimeesean. LPA Huang informed her that due to the COVID-19 shelter-in place order, today's Complaint Investigation Report (LIC 9099, 9099-D), Appeal Rights, a copy of the Notice of Site Visit will be emailed to her (Kimeesean Donaldson <Kimeesean.Donaldson@brighthorizons.com> with a "read receipt" notification. Kimeesean agreed to respond to LPA's email within 24 hours acknowledging receipt of today's report.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 07-CC-20210303112649
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 AT SUNNYVALE
FACILITY NUMBER: 434415531
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2021
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio: There shall be a ratio of one teacher for every four infants in attendance. LPA learnt that sometimes aide was used to give breaks and lunches for teacher and was supervised infants alone by her self.
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The facility to rearrange its staff shift schedule to ensure that the it is operating in compliance with regulatory on staff-infant ratio. Director to submit its staff shift schedule prior to the POC due date.
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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.
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
LIC9099 (FAS) - (06/04)
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