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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406096
Report Date: 06/12/2024
Date Signed: 06/12/2024 04:01:26 PM

Document Has Been Signed on 06/12/2024 04:01 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SCHANER, SUSANNAFACILITY NUMBER:
073406096
ADMINISTRATOR/
DIRECTOR:		SCHANER, SUSANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 640-4543
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
06/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Susanna SchanerTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
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On June 12, 2024 at 2:00pm, Licensing Program Analyst (LPA) Julia Placencia conducted a case management inspection while at the facility for another reason. LPA met with licensee Susanna Schaner.

Upon arrival LPA observed 13 children (three infants, and ten preschool age children), licensee and helper/daughter Zsanett Sarkovy. The facility is licensed for 12 to 14 children, however, the 13th and 14th child(ren) must be school age (1 child in kindergarten or elementary school and 1 child at least age 6), as is specified on her license.

See 809D for deficiencies cited today. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in each child's file to be reviewed by licensing.

Exit interview conducted with licensee Susanna Schaner. This report shall remain on file for 3 years. A Notice of Site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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Document Has Been Signed on 06/12/2024 04:01 PM - It Cannot Be Edited


Created By: Julia Placencia On 06/12/2024 at 02:48 PM
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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SCHANER, SUSANNA
FACILITY NUMBER: 073406096

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/14/2024
Section Cited
CCR
102416.5(a)

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102416.5(a) Staffing Ratio and Capacity -
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
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Licensee shall immediately reduce the number of children to within her ratio/capacity limits as specified on license.
**LPA will return to confirm compliance.
Additionally, licensee is to write a statement confirming compliance of this regulation by due date of 6/14/24.
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This requirement is not met as evidenced by:
Based on observation, LPA observed 13 children (3 infants and 10 preschoolers), which poses an immediate health and safety risk to children in care.
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***Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Jason Jang
LICENSING EVALUATOR NAME:Julia Placencia
LICENSING EVALUATOR SIGNATURE:
DATE: 06/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/12/2024


LIC809 (FAS) - (06/04)
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