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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001651
Report Date: 06/19/2019
Date Signed: 07/03/2019 01:04:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BRIGHT HORIZONS @ GILEAD (PRESCHOOL)FACILITY NUMBER:
414001651
ADMINISTRATOR:CHRISTINA ENERIOFACILITY TYPE:
850
ADDRESS:301 VELOCITY WAYTELEPHONE:
(650) 312-1895
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:90CENSUS: 67DATE:
06/19/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Brian HeathTIME COMPLETED:
01:45 PM
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***************************THIS IS AN AMENDED REPORT FROM 6/19/2019************************************

Licensing Program Analysts (LPAs) Mok and Ly conducted an unannounced case management inspection to follow up on incidents that may have occurred at the facility in early 2019. LPAs met with the Division Vice President, Brian Heath. There were 67 children with 10 staff present. LPAs discussed the incidents with staff and obtained relevant documents from the licensee during the inspection. A follow-up inspection may be conducted.

*No deficiencies were issued today under Title 22, Division 12 of the California Code of Regulations


This report was reviewed and provided to the Division Vice President. The notice of Site visit was given as well.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE:
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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