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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415601154
Report Date: 12/23/2024
Date Signed: 12/23/2024 01:01:47 PM

Document Has Been Signed on 12/23/2024 01:01 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
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KONANIA HOUSE 2FACILITY NUMBER:
415601154
ADMINISTRATOR/
DIRECTOR:		SWINT, JESSEFACILITY TYPE:
735
ADDRESS:468 SAN DIEGO AVETELEPHONE:
(310) 406-9947
CITY:DALY CITYSTATE: CAZIP CODE:
94014
CAPACITY: 4TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
12/23/2024
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Licensee/Administrator, Jesse SwintTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On December 23, 2024, Licensing Program Analysts (LPA) Komal Charitra and Yi Sam Jian conducted an unannounced case-management health and safety visit. LPAs met with Licensee/Administrator, Jesse Swint and explained the purpose of the visit.

LPAs toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a two story facility. On the first floor, LPAs observed two shared clients rooms with required furniture. Additionally, there was a common area and bathroom observed on the first floor. Bathroom was observed clean and in good repair. Garage was observed to be locked.

LPAs toured the second floor, LPAs observed 2-day perishable and 7-day non-perishables present. Hot water temperature throughout the facility measured between 108-112 degrees F. Carbon monoxide detector was observed to be working and fire extinguishers were observed charged. Lighting was sufficient for comfort and a comfortable temperature was maintained. Medications, chemicals, and sharps were locked and inaccessible to client in care.

No deficiencies are cited during the visit. LPAs reviewed the report with Licensee/Administrator and a copy is provided.
April CowanTELEPHONE: (650) 266-8889
Komal CharitraTELEPHONE: (650) 629-4305
DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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