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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001651
Report Date: 03/01/2022
Date Signed: 03/01/2022 03:02:47 PM


Document Has Been Signed on 03/01/2022 03:02 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:BRIGHT HORIZONS @ GILEAD (PRESCHOOL)FACILITY NUMBER:
414001651
ADMINISTRATOR:BRIAN HOLLINGSWORTHFACILITY TYPE:
850
ADDRESS:301 VELOCITY WAYTELEPHONE:
(650) 312-1895
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:90CENSUS: 15DATE:
03/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Directors, Brian and MichelleTIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Kassandra Medrano met with Directors, Brian Hollingsworth and Michelle Lee for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on February 2, 2022; which was reported to the department by the center. LPA spoke to management and staff about incident.


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



This report and notice of site visit were discussed with the Director's and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2022
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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