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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 445202354
Report Date: 11/17/2022
Date Signed: 11/17/2022 03:37:54 PM

Document Has Been Signed on 11/17/2022 03:37 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:BRIGHTPATH COMMUNITY CENTERFACILITY NUMBER:
445202354
ADMINISTRATOR:VICTOR CORTESFACILITY TYPE:
775
ADDRESS:720 CAPITOLA AVENUE, SUITE ETELEPHONE:
(831) 476-1465
CITY:CAPITOLASTATE: CAZIP CODE:
95010
CAPACITY: 20CENSUS: DATE:
11/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:44 AM
MET WITH:Victor CortesTIME COMPLETED:
11:52 AM
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Licensing Program Analyst (LPA) Ryker Heberle conducted an unannounced Required - 1 Year visit on 11/17/2022 at 10:44am and met with Administrator Victor Cortes (Admin).

During visit, LPA toured the facility. LPA toured the reception area, activity room, kitchen, 2 bathrooms, and storage closet. The facility had clients currently attending the program. LPA was screened for symptoms and temperature upon entrance into the facility at designated entry point. All staff members observed to be wearing masks. LPA observed PPE supplies and COVID-19 related posters in the facility. LPA observed that the facility did not have any gowns.

No prohibited items noted in facility. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers, soap, and paper supplies were observed to be available. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Smoke detectors tested and observed to be functioning properly.

All restrooms stocked with paper towels. Hand washing signs observed in all bathrooms. Facility temperature noted to be 70*F. Social distancing signs observed to be posted in all public areas. Vaccination rate for staff and clients is currently at 100%.

No deficiencies cited during today's visit. Advisory note issued. This report was reviewed with Administrator Victor Cortes and a copy of the signed report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Ryker Heberle
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2022
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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