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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012042
Report Date: 04/06/2022
Date Signed: 04/06/2022 02:13:47 PM

Document Has Been Signed on 04/06/2022 02:13 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BRIGHT HORIZONS CHILDREN'S CENTERFACILITY NUMBER:
198012042
ADMINISTRATOR:ESTELA PADILLA-SALAZARFACILITY TYPE:
830
ADDRESS:115 N. HOLLYWOOD WAYTELEPHONE:
(818) 526-0580
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 11TOTAL ENROLLED CHILDREN: 11CENSUS: 1DATE:
04/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director, Estela Padilla Salazar TIME COMPLETED:
01:30 PM
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On 4/6/2022 Licensing Program Licensing Program Analyst, Dalicia Adkins conducted an unannounced case management visit. LPA met with Director, Estela Padilla Salazar. LPA informed director about the purpose of the visit and LPA was granted entry in the facility. Director provided LPA of a tour of the facility. There was one child and one teacher present during today's visit.

The purpose of today’s visit is to obtain original signature of licensing evaluation forms conducted on 3/24/2022.

No deficiencies cited during this visit.

Exit interview conducted. This report reviewed with licensee and copy provided.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022
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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