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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001652
Report Date: 10/09/2024
Date Signed: 10/09/2024 05:24:49 PM

Document Has Been Signed on 10/09/2024 05:24 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BRIGHT HORIZONS @ GILEAD (INFANT)FACILITY NUMBER:
414001652
ADMINISTRATOR/
DIRECTOR:		LEE, MICHELLEFACILITY TYPE:
830
ADDRESS:301 VELOCITY WAYTELEPHONE:
(650) 312-1895
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 11DATE:
10/09/2024
TYPE OF VISIT:Case Management - IncidentANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Michelle LeeTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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On October 9, 2024, at approximately 1:30pm, Licensing Program Analyst (LPA) Maria Olguin-Leon met with Director, Michelle Lee for an unannounced case management visit. LPA explained the purpose of the visit, which was for an unusual incident that occurred on July 24, 2024. Incident was self reported by Director to Regional office. Facility has an infant and preschool program. Incident occurred in infant program. Present in infant room was 4 staff and 11 infants.

On date incident occurred, a teacher (T1) in the infant program warmed two breast milk bottles. T1 followed facilities policy regarding warming and feeding infants. Policy is to read out loud and confirm child’s name on label, say color code, ounces, and type of milk. When T1 sat down to feed C1, T1 asked T2 to feed C2. T2 was unable to locate C2’s bottle and asked T1 where bottle was. T1 checked T1’s smock pocket and found the bottle in smock pocket. T1 realized bottle in smock pocket belong to C1 and not C2. T1 realized T1 had mis-fed C1 with C2’s bottle. Per Director, Director informed both children’s parents and infant did not have any adverse reactions to drinking the wrong breast milk bottle.

LPA inspected infant classroom and observed all bottles were appropriately labeled, color coded and dated. LPA observed infants daily schedule of feedings, bottles, and diapering listed on board and reviewed My Bright Day app for daily sleeping schedule and eating schedules. LPA reviewed center's policy regarding bottle feedings and preparation. Per Director, staff was re-trained on policies and procedures regarding infant bottle feedings. Moving forward staff will only handle one bottle at time and continue following facility infant feeding procedures.

See LIC809D for deficiency cited against the facility under CCR, Title 22, Div. 12, Ch. 1.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, Michelle Lee. Appeal rights provided.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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Document Has Been Signed on 10/09/2024 05:24 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 10/09/2024 at 02:57 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 10/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/09/2024
Section Cited

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101427 Infant Care Food Service (c) The infant shall be fed in accordance with the individual plan.

This requirement was not met as evidenced by:
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Based on interviews and unusual incident report, LPA determined C1 was mis-fed the wrong breast milk bottle, that belong to C2. This poses a potential health, safety or personal rights risk to children in care.
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Staff completed Infant Safety: 2024 Policy Review on 07/28/2024 and Asst. Director completed one on one infant feeding procedures and policies training, Staff acknowledged and signed the policies.

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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:Marie Rodriguez
LICENSING EVALUATOR NAME:Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2024


LIC809 (FAS) - (06/04)
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