414001652-5-31-2019-05-CC-GLEG-BDPVYA-20190702165045

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001652
Report Date: 05/31/2019
Date Signed: 05/31/2019 12:36:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/23/2019 and conducted by Evaluator Andrea Medlin

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20190523080426

FACILITY NAME:	BRIGHT HORIZONS @ GILEAD (INFANT)		FACILITY NUMBER:	414001652
ADMINISTRATOR:	CHRISTINA ENERIO		FACILITY TYPE:	830
ADDRESS:	301 VELOCITY WAY		TELEPHONE:	(650) 312-1895
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	36	CENSUS: 15	DATE:	05/31/2019
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Cynthia Usner, Brian Heath		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Facility has 2 year old in the infant license classroom

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Andrea Medlin met with director for this complaint visit. There are two infant classrooms: starfish and seahorse. The facility calls the infants in the seahorse room "toddlers," however for licensing purposes, these children are considered infants because they are 1 year-2 year old which falls under the infant category (0-24 months). There are 7 infants with 3 staff in starfish room; 8 infants with 3 staff in seahorse room. Based on review of sign in/out log for 5/10/19, it was found there was one child just over the age of 2 years old present in the room.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

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 05-CC-20190523080426

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 (INFANT)	FACILITY NUMBER: 414001652
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/31/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/31/2019 Section Cited CCR 101161(a)	1 2 3 4 5 6 7	101161(a) Limitations on Capacity and Ambulatory Status. The licensee shall not exceed the conditions, limitations and capacity specified in the license.	1 2 3 4 5 6 7	Facility has submitted a plan of correction today. In the future, facility will ask licensing for an exception for transition time when needed.
	8 9 10 11 12 13 14	This requirement is not met as evidence on 5/10/19 there was a 2 year old in the infant classroom. This is a potential health and safety risk.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 05-CC-20190523080426

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 (INFANT)	FACILITY NUMBER: 414001652
	VISIT DATE: 05/31/2019

NARRATIVE

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The Department has investigated the complaint allegation. Based on the information gathered, it was found to be true facility is operating beyond the terms and conditions of the license, therefore this allegation is determined to be substantiated.

The deficiencies cited on the following pages are in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1:

This report was reviewed with director and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

LIC9099 (FAS) - (06/04)

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