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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005196
Report Date: 02/16/2023
Date Signed: 02/16/2023 02:23:31 PM

Document Has Been Signed on 02/16/2023 02:23 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SULENTA, MARCIA B.FACILITY NUMBER:
214005196
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
02/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Marcia SulentaTIME COMPLETED:
02:38 PM
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On 2/16/2023, Licensing Program Analyst (LPA), Hanson Leong a, made an unannounced Plan of Correction visit to the Marcia Sulenta’s day-care facility. This is a follow-visit to ensure the previous Type A violation was corrected, which occurred on 2/7/2023. The LPA was granted entry by the licensee. The LPA explained the purpose of the visit to the licensee. All the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed the licensee and her assistant supervising four infants. Children's capacity and ratio requirements were observed to be in compliance.

The LPA made the following observations during the visit:


1. The licensee's current capacity is within her license's capacity of eight children.
2. The required postings following a Type A violation.

During the visit, the licensee provided the following documents in relation to the facility's Type A violation on 2/7/2023:
1. A schedule for all enrolled children
2. Signed form LIC 9224 (Acknowledgement of Receipt of Licensing Reports) by the parents.

The LPA reviewed the documents listed above. Both documents show that the licensee completed the department's Plan of Correction.

On 2/7/2023, the facility was cited under CCR Section 102416.5(c), which has since been corrected as of 2/16/2023.

A Copy of Letter of Deficiency Citations was given to the licensee.

***See Page 2 for continuation***

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SULENTA, MARCIA B.
FACILITY NUMBER: 214005196
VISIT DATE: 02/16/2023
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Continued, Page 2
A copy of this report, and the “Notice of Site Visit,” were given to the licensee.

A “Notice of Site Visit” must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Licensee, Marcia Sulenta
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
LIC809 (FAS) - (06/04)
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