414000160-2-21-2025-05-CC-LTMO-DE4VDL-20250221152054

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000160
Report Date: 02/21/2025
Date Signed: 02/21/2025 03:21:14 PM

Document Has Been Signed on 02/21/2025 03:21 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:	PASSAMANI, SENONA		FACILITY NUMBER:	414000160
ADMINISTRATOR/ DIRECTOR:	PASSAMANI, SENONA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 556-1178
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	02/21/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:00 PM
MET WITH:	Licnesee, Senona Passamani		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On February 21st, 2025, at approximately 2pm, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced random/annual inspection and met with licensee, Senona Passamani. LPA explained the purpose of the inspection licensee. Present in the facility are licensee. There are no children present during today's inspection. Per licensee, she has not had any children enrolled since August 2024. During today's inspection, all adults living and/or working in the facility are fingerprint cleared and associated. Licensee owns home. Home is a 3 bedroom, 2 bathroom, single level house. The hours of operation are Monday-Friday from 7:30am-5:30pm. Daycare areas are: Living room, Dining area, Garage converted Playroom, Bathroom #1, Family Room, Playroom in the back of the home, and portion of the backyard. Off Limit areas are: Kitchen, Bedrooms #1, #2, and #3, Bathroom #2, Front yard, and portions of the backyard. All off limit areas, including closets, are maintained properly barricaded. LPA toured day care areas of home. Due to facility not having any enrolled children, home is not fully set up. Licensee understands that if she does enroll children, the home will be fully set up. LPA observed home to be clean and in good repair with proper temperature and ventilation. There were a variety of age appropriate toys and equipment in the home which were in good condition. Home has a fireplace that is properly barricaded in an off limit area. There are no pets in the home. There were no pools, spas or bodies of water on the property. All cleaning supplies, poisons and other chemicals were stored inaccessible to children. Discipline Policy was discussed. There was a fully charged fire extinguisher, smoke alarm and carbon monoxide alarm, and a working telephone on site. Phone number listed for Licensee is current. Per Licensee, there are no weapons or firearms in the home. LPA did not review any children’s records. Licensees CPR & First Aid Certificate expires on 10/2025. Licensee has not done an emergency drill recently due to children being enrolled. Last emergency drill was conducted was 05/2024. Emergency drills must be conducted at least once every six months and are properly logged. Licensee was reminded that baby walkers, bouncers, jumpers, and any other similar items are to not be used for children in care. Continued on Page 2...

Marie Rodriguez	TELEPHONE: (650) 732-0619
Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
	DATE: 02/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025

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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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: PASSAMANI, SENONA	FACILITY NUMBER: 414000160
	VISIT DATE: 02/21/2025

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website atwww.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Licensee 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 a Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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.

Incidental Medical Services (IMS) policy was discussed. Licensee does offer IMS at this moment. Incidental Medical Services plan is on file. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Continued on Page 3...

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 732-0619
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025

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: PASSAMANI, SENONA	FACILITY NUMBER: 414000160
	VISIT DATE: 02/21/2025

NARRATIVE

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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Senona Passamani, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 2/21/25.

No Deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

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

Exit interview was conducted and report was reviewed with License, Senona Passamani, and copy of this report was provided.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 732-0619
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025

LIC809 (FAS) - (06/04)

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