414001651-12-5-2019-05-CC-KMEO-BJKSUU-20191205131142

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001651
Report Date: 12/05/2019
Date Signed: 12/05/2019 01:11:53 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:	CINDY USNER		FACILITY TYPE:	850
ADDRESS:	301 VELOCITY WAY		TELEPHONE:	(650) 312-1895
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	90	CENSUS: 71	DATE:	12/05/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director, Cindy Usner		TIME COMPLETED:	01:30 PM

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Licensing Program Analyst (LPA) Kassandra Medrano met with Site Director, Cindy Usner for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on November 25, 2019; which was reported to the department by the center.

On the day mentioned above, the Octopus classroom was transitioning to outdoor play time. One staff took the 12 children outside to play and conducted a head count. While another staff member stayed inside with 6 children who needed changing. As children were changed, staff took 5 children outside. A some time later, the staff was informed that a parent had arrived to pick up their child and found another child sleeping in the of the classroom. Center staff woke the child and the child returned to activities with the class. After the center conducted an investigation and obtained written statements from staff, it was discovered that the staff did not count properly, conduct a thorough sweep of the classroom or utilize the center's 'We Care Transition Tracking Sheet'.

Based on information available, the incident resulted in absence of supervision because the child was left without visual supervision of a teacher.

A Type “A” violation was issued today. The center was advised to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the Site Director. Notice of Site Visit and Type A Citation shall remain posted for 30 days.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra Medrano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BRIGHT HORIZONS @ GILEAD (PRESCHOOL)	FACILITY NUMBER: 414001651
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/05/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/06/2019 Section Cited	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on documents received from the facility and interviews with staff.This poses an immediate health and safety risk to children.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra Medrano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019

LIC809 (FAS) - (06/04)

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