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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415795
Report Date: 10/25/2023
Date Signed: 10/25/2023 03:17:48 PM

Document Has Been Signed on 10/25/2023 03:17 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BRIGHT HORIZONS AT STEVENS CREEKFACILITY NUMBER:
434415795
ADMINISTRATOR:NANCY CAMPBELLFACILITY TYPE:
830
ADDRESS:4945 STEVENS CREEK BOULEVARDTELEPHONE:
(408) 990-8920
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 13DATE:
10/25/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Sherron Murphy TIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Anna Morales conducted a Case Management inspection regarding an Unusual Incident that was reported by the facility to Licensing on 10/19/2023. LPA was greeted by Director Sherron Murphy. LPA toured the facility, interviewed staff, reviewed files, and obtained copies of documents.

No deficiencies were cited during today's inspection.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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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