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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004558
Report Date: 04/26/2023
Date Signed: 04/26/2023 04:05:30 PM

Document Has Been Signed on 04/26/2023 04:05 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:PISSANI, MIGUEL A.FACILITY NUMBER:
414004558
ADMINISTRATOR:PISSANI, MIGUEL A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 533-7213
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
04/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:11 PM
MET WITH:Miguel PissaniTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced Case Management and met with Miguel Pissani. The Department received an application from the facility requesting a capacity increase on April 19,2023. Current facility is a licensed as a large daycare and requesting an off limits room to be added to on limits area for napping purposes.

No changes were made to the previously licensed childcare area. The licensee is adding bedroom #2 to on limits areas for napping purposes only. .


Addition of room #2 has been approved effective 04/26/23.

Due to time constraints a follow up visit will be conducted for additional review and to discuss additional concerns.

Exit interview conducted and report was reviewed with licensee, Miguel Pissani.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023
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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