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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001652
Report Date: 01/25/2024
Date Signed: 01/25/2024 02:26:19 PM


Document Has Been Signed on 01/25/2024 02:26 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:LEE, MICHELLEFACILITY TYPE:
830
ADDRESS:301 VELOCITY WAYTELEPHONE:
(650) 312-1895
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:36CENSUS: 19DATE:
01/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Michelle LeeTIME COMPLETED:
02:26 PM
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On January 25, 2024, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced case management visit in regards to an unusual incident that occurred on January 11, 2024. LPA met with Director Michelle Lee and the purpose of the inspection was explained. Present in the facility today was Director, 7 staff 19 children (7 infants and 12 toddler). LPA inspected facility for Health and Safety Hazards.
Unusual incident report stated a child tripped and fell. Per teacher, child had his diaper changed and was going back to circle time when he tripped and fell. Teacher stated child was walking quickly and there were no tripping hazards. When child fell he hit his head on the toddler chair or table. Child sustained a cut on his left eyebrow. Child was take to Emergency Room by his father and Dr. applied three stitches to cut on eyebrow. Child has returned to facility with no restrictions.

LPA toured the seahorse classroom for health and safety hazards. Area where child fell is a clear walkway for children and is equipped with toddler sized chairs and tables. LPA did not observe any safety issues or any sharp edges on furniture. This was an isolated incident and an accident.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

Exit interview was conducted and report was reviewed with Director, Michelle Lee. A copy of this report was provided.



Notice of site visit shall be posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Maria Olguin-LeonTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2024
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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