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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004115
Report Date: 02/13/2024
Date Signed: 02/13/2024 05:13:15 PM

Document Has Been Signed on 02/13/2024 05:13 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: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: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 17DATE:
02/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Jenny HobsonTIME COMPLETED:
05:15 PM
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On 2/13/2024 at 4:10PM., Licensing Program Analyst (LPA), Luis Gomez met with Assistant Director, Rowena De Los angeles. Purpose of inspection was explained and was for a case management inspection. Director, Jenny Hobson arrived during inspection. Present in facility were 6 staff caring for 17 children. All children had been properly signed in. LPA inspected facility for health and safety hazards.

During inspection, LPA provided director with an updated LIC421GB, Civil Penalty Assessment Background Check form. LPA advised director, civil penalty statement be mailed to facility at a later date.

On 12/27/2023, deficiency for adult without criminal record clearance was cleared.

Based on today's inspection, no deficiencies were observed in the areas evaluated, according to the Title 22 Division 12, Chap. 1 Ca. Code of Regulations. Exit interview, and report was discussed with Director, Jenny Hobson. Director's signature on this form acknowledges receipt of these documents.

This report and rights to comment was discussed. This report must be available in the facility for public review. Notice was given and must remain posted for 30 days. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
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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