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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005196
Report Date: 03/14/2024
Date Signed: 03/14/2024 03:39:53 PM

Document Has Been Signed on 03/14/2024 03:39 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:SULENTA, MARCIA B.FACILITY NUMBER:
214005196
ADMINISTRATOR:SULENTA, MARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 336-6955
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
03/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Marcia SulentaTIME COMPLETED:
03:45 PM
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On 3/14/2024, at approximately 3:00PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced Proof of Correction (POC) visit at the facility. LPA was granted entry to the facility by Licensee, Marcia Sulenta. LPA explained the purpose of the visit. Present during the visit was the Licensee, a helper (H1), four infants, and two preschool age children. The facility is in compliance with capacity requirements on this day.

During an unannounced annual visit on 2/26/2024, LPA reviewed staff files and found that neither Licensee nor H1 had current Mandated Reporter Training. A Type-B deficiency was issued, with a due date of 3/11/2024.

LPA inspected the home for any health and safety hazards. The home was in clean and orderly condition. LPA reviewed all children's files and two staff files. Based on record review, LPA confirmed that all children's files were complete. Licensee and H1 had both completed Mandated Reporter Training, with the training expiring on 3/2026. The deficiency cited on 2/26/2024 has been cleared. LPA discussed the requirement to maintain Mandated Reporter Training with Licensee. Licensee understood.

No deficiencies were cited during today's visit. A letter of deficiency cleared was provided to Licensee. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Marcia Sulenta.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
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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