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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001652
Report Date: 01/28/2020
Date Signed: 01/28/2020 01:28:53 PM

COMPREHENSIVE INSPECTION
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 (INFANT)FACILITY NUMBER:
414001652
ADMINISTRATOR:CINDY USNERFACILITY TYPE:
830
ADDRESS:301 VELOCITY WAYTELEPHONE:
(650) 312-1895
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:36CENSUS: 16DATE:
01/28/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Director, Brian HollingsworthTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Kassandra Medrano met with director, Brian Hollingsworth, for a random annual inspection. Purpose of the inspection was explained. Present, there are 16 children in care (8 infants, and 8 toddlers) . Facility is operating with in the capacity and in compliance with staff infant ratio on this day. Facility operate day care from Monday to Friday between 7:30 AM to 6:30 pm. With director, LPA inspected the Child Care areas. Facility has combination of smoke and carbon monoxide detectors in the facility. There is fully charged fire extinguisher and working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility was inspected indoors and outdoors for health and safety hazards. The facility has cribs available for sleeping. All classroom are equipped with a changing station and working sink within arms distance. The toddler classrooms have working, child size toilets and sinks available for the children. Restrooms are maintained clean, in good repair, and with adequate supplies. Staff use a separate restroom located in the hallway. Each classroom has emergency supplies backpack. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility floor is in good repair and free of any hazards. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste are in good repair and have proper tight-fitted lid on top. Per director, children bring their own meals and facility provides snacks. Food preparation area is free of litter.There are menus posted at the beginning of every month in advance and are visible to the child's authorized representative. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount cushion material under the play structures to prevent any fall injuries. Per director LPA reviewed the facility records. LPA reviewed 10 random children's and 5 staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Each child’s record has record of immunization. LPA reviewed the educational qualification of all the teachers.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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 (INFANT)
FACILITY NUMBER: 414001652
VISIT DATE: 01/28/2020
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LPA observed staff has record of their required immunization on file. The facility has approval to use Bright Horizon training for mandated reporter. LPA observed the staff members have completed the training and certificates are on file. The training can also be obtained online at www.mandatedreporterca.com.

LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
LIC809 (FAS) - (06/04)
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