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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004115
Report Date: 05/30/2023
Date Signed: 05/30/2023 04:49:40 PM


Document Has Been Signed on 05/30/2023 04:49 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:PAPILLON PRESCHOOL MANAGED BY BRIGHT HORIZONS INFFACILITY NUMBER:
414004115
ADMINISTRATOR:JENNY HOBSONFACILITY TYPE:
830
ADDRESS:1311 SO. EL CAMINO REALTELEPHONE:
(650) 340-7241
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY:24CENSUS: 16DATE:
05/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Jenny HobsonTIME COMPLETED:
04:55 PM
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On 5/30/2023 at 4:10PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Jenny Hobson. Purpose of the inspection was explained and was for an Unannounced; Plan of Correction inspection. Present was the director and 6 staff caring for 16 children. LPA inspected facility for health and safety hazards.

During today’s inspection, LPA performed record review, observations, and interviews.

On 4/11/2023, Director submitted updated Personnel Report (LIC500).
During inspection, LPA performed classroom observations. LPA confirmed classroom were operating within required infant-teacher ratio. Per director, infant classrooms (Cocoon and Caterpillar) have a fully qualified teacher present at all times, 7:45AM-6:00PM.

Deficiency issued on 4/11/2023, has been cleared and ‘Cleared Plan of Correction Letter’ was provided.

Based on today's inspection, no deficiencies were observed in the areas evaluated according to Title 22 Division 12, Chap. 3, Ca. Code of Regulations. Exit interview was conducted with Director, Jenny Hobson and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Licensee was advised for additional questions to call CCL Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2023
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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