013411363-6-2-2022-52-CC-JSAI-CEZPSX-20220602113503

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013411363
Report Date: 06/02/2022
Date Signed: 06/02/2022 11:37:35 AM

Document Has Been Signed on 06/02/2022 11:37 AM - 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	BROWN, SENOVIA		FACILITY NUMBER:	013411363
ADMINISTRATOR:	BROWN, SENOVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 567-6188
CITY:	SAN LEANDRO	STATE: CA	ZIP CODE:	94577
CAPACITY:	12	CENSUS: 4	DATE:	06/02/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Licensee,Senovia Brown		TIME COMPLETED:	11:50 AM

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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee, Senovia Brown, for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Present during this inspection was Licensee supervising 2 infants, 1 preschooler and 1 school age. The home is a single-story house consisting of 3 bedrooms, 3 bathrooms, living room, dining room, family room, kitchen, backyard, and garage. The hours of operation are 6:00AM- 6:00pm, Monday -Friday. Day care area: Kitchen, dining area, family room (playroom), garage, 2 bathrooms and side yard. Off limit areas: 2 bedrooms, master bathroom, office and back yard. Licensee stated she reside in the home alone.

LPA inspected the house for health and safety hazards. Daycare Area is clean, and equipped with age appropriate toys and equipment for children, indoors and outdoors. Home has a working telephone, a working smoke and carbon monoxide detector. There are ample of age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs, or any other bodies of water during today's inspection. There were no pets present in the home. The home has electrical outlet covers and maintains a First Aid Kit in the home. LPA did not observe any hazardous materials or toxins accessible to children during today’s inspection. Licensee have valid CPR and will expire on 12/2022. Licensee provides daily snacks and lunch. Discipline policy is redirection. LPA reviewed children’s files. All required postings are properly posted. LPA obtained a copy of the facility roster.

During Inspection, Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BROWN, SENOVIA	FACILITY NUMBER: 013411363
	VISIT DATE: 06/02/2022

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

Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Brown Senovia.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022

LIC809 (FAS) - (06/04)

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