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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001652
Report Date: 08/15/2025
Date Signed: 08/15/2025 12:43:25 PM

Document Has Been Signed on 08/15/2025 12:43 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:BRIGHT HORIZONS @ GILEAD (INFANT)FACILITY NUMBER:
414001652
ADMINISTRATOR/
DIRECTOR:		LEE, MICHELLEFACILITY TYPE:
830
ADDRESS:301 VELOCITY WAYTELEPHONE:
(650) 312-1895
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 21DATE:
08/15/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Roxanne Magadia, Michelle LeeTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
NARRATIVE
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On 8/15/2025 at 8:40AM., Licensing Program Analysts, (LPA) Luis Gomez met with Assistant Director, Roxanne Magadia. The purpose of the inspection was explained and is for an Unannounced, Annual/ Random inspection. Director, Michelle Lee arrived to facility during inspection. This facility is a combination center with licensed preschool program on site. Present was assistant director and 8 staff supervising 20 children. Present staff have criminal record clearances of file. LPA reminded facility to ensure children present are signed in by guardians during drop off. The infant program utilizes two rooms: Starfish (0- 12-month-old), Seahorse (13- 23 months old), and one, shared, outdoor play yard. The days and hours of operation are Monday- Friday, 7:30AM- 6:30PM. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 8:55AM., LPA observed the following: Infant classrooms were neat and clean with age-appropriate playthings available for the children. Classroom floors, area rugs, and ground surfaces were free of obstructions or hazards. Infant books, soft toys and materials inspected were in like-new condition. Accessible furniture inspected were free of sharp corners or splinters. LPA observed children tables and chairs, scaled to the appropriate size.

Infant feeding chairs inspected in the starfish classroom were equipped with stable/wide base and a removable table component. LPA observed diaper changing tables are available for staff, within arm’s reach of a sink.

At 9:00AM., Based on observation, LPA confirmed diaper changing tables (2) do not have a soft, washable padded surface.

The trash bins used for disposal of solid waste are covered. Per assistant director, waste is removed from classroom daily. (REFER TO 809C, FOR CONT.)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 08/15/2025 12:43 PM - It Cannot Be Edited


Created By: Luis Gomez On 08/15/2025 at 11:23 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BRIGHT HORIZONS @ GILEAD (INFANT)
FACILITY NUMBER: 414001652

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101439(h)(1)
Infant Care Center Fixtures, Furniture, Equipment and Supplies
(h) Infant changing tables shall: (1) Have a padded surface no less than one-inch thick and be covered with washable vinyl or plastic.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 9:00AM., Based on observation, LPA confirmed diaper changing tables (2) do not have a soft, washable padded surface. This poses a potential health and safety risk to children in care.
POC Due Date: 08/29/2025
Plan of Correction
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Director will obtain padded and cleanable surface for diaper changing areas (Starfish and Seahorse) classrooms by the due date: 8/29/2025.
Proof of correction will be submitted to the Department via email.
Type B
Section Cited
CCR
101429(a)(2)(C)(3)
Responsibility for Providing Care and Supervision for Infants
(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (3) Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 11:15PM., Based on record review, LPA confirmed review for infant napping conditions are not being conducted every 15 minutes. This poses a potential health and safety risk to children in care.
POC Due Date: 08/22/2025
Plan of Correction
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Director will ensure staff begin documenting infant conditions every 15 minute during each infant napping check.
Proof of correction will be submitted to the Department via email.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Luis Gomez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2025


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT HORIZONS @ GILEAD (INFANT)
FACILITY NUMBER: 414001652
VISIT DATE: 08/15/2025
NARRATIVE
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(Page 2)
The food preparation area/ shared kitchen between classrooms, have a separate sink available. LPA observed Infant bottles properly labeled with child’s name and date, and were stored in the refrigerator. Per assistant director, infant bottles are taken home by families daily to be cleaned and refilled.

For nap services/ scheduled rest, LPA observed several infant cribs/ and cots available.
The infant cribs, located in the starfish napping area, are separate from the infant activity space. Infant crib inspected had tight- fitted sheet and properly sized mattress. Cribs have visibility on all sides for constant supervision. Per director, napping sheets are changed and washed weekly on-site.

The facility had acceptable ventilation and lighting. Detergents, cleaning supplies, and sharp or hazardous objects have been made inaccessible to children. Facility had testable carbon monoxide detector and fully charged fire extinguisher, 3A40BC.

At 9:25AM., LPA inspected the infant outdoor play area. LPA observed area was completely enclosed, with turf padding installed for added safety. The Sandbox was free of hazardous items. Per assistant director, for water services, refillable cups and pitchers are available for children to drink as they wish.

At 9:30AM., Based on observation, LPA confirmed excessive sand spilled outside of the sandbox area. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 10:00AM., LPA reviewed facility records including 5 children’s files and 10 personnel files. Staff files contained the: Notice of Employee Rights (LIC9052); Teacher Qualification; Personnel Record (LIC501); Proof of required immunization; and Health Screening/ TB Assessment (LIC503).

Children’s files were reviewed and included the: Consent for Medical Treatment (LIC627); Identification of Emergency Information (LIC700); Immunization Record; Individual Infant Sleeping Plan (LIC9227); and Admissions Agreement.

At 11:15PM., Based on record review, LPA confirmed review for infant napping conditions are not being conducted every 15 minutes. (REFER TO 809C, FOR CONT.)
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT HORIZONS @ GILEAD (INFANT)
FACILITY NUMBER: 414001652
VISIT DATE: 08/15/2025
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At 11:15PM., Based on record review, LPA confirmed review for infant napping conditions are not being conducted every 15 minutes.

Staff’s CPR/ 1st Aid Certification was current, expiring: 3/2/2026. Facility emergency disaster drill (Fire and Earthquake) was completed on: 6/30/2025., 6/27/2025.

Required posting were observed in the facility including the: Infant License; Emergency Disaster Plan (LIC610); Seat Beat Safety Laws; Notification of Parent’s Rights (LIC995A); Snack Menu (August, 2025); and Personal Rights.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Director, Michelle Lee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in Child Care Center. A civil penalty of $100.00 minimum/ day for maximum of 5 days or, if the penalty is repeat violation, for a maximum of 30 days per person will be assessment if this regulation is violated.

LPA discussed safe sleep regulations with the director and discussed Child Care Licensing Safe Sleep webpage at: http://www.cdss.ca.gov/inforesource/child-care-licensing/public-information-and-resouce/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: http://www.cpsc.gov/ and recommend they register all infant devices with the CPSC to be notified of any recalls on their purchased requirement.

Based on today's inspection, deficiencies were cited in the areas evaluated according to the Title 22, Division 12, Chap. 1 Ca. Health and Safety Code of Regulations. An exit interview to reviewing plans for correction, and evaluation report was discussed with Director, Michelle Lee. Director's signature of this form acknowledges receipt of these documents.

This report and rights to comment were discussed. This report must be available in the facility file for public review. Notice of site visit was provided 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
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2025
LIC809 (FAS) - (06/04)
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