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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013411363
Report Date: 09/09/2024
Date Signed: 09/17/2024 12:35:38 PM

Document Has Been Signed on 09/17/2024 12:35 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:BROWN, SENOVIAFACILITY NUMBER:
013411363
ADMINISTRATOR/
DIRECTOR:		BROWN, SENOVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 567-6188
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 1DATE:
09/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Senovia BrownTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On September 9, 2024 at approximately 8:30 AM, Licensing Program Analyst (LPA) Elimika Woods met with licensee Senovia Brown to conduct a case management inspection. The purpose of the visit was to inspect the facility, which had recently changed from active to inactive status. Present for this inspection was one preschool age child. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday, 6:00 AM to 6:00 PM.

ON LIMITS: Living and dining room, kitchen, left side-yard, child care room and bathroom

OFF LIMITS: All bedrooms, back-yard, hallway bathroom, and converted garage

This facility is now placed on active status as of today, September 9, 2024. No deficiency was cited during today’s visit.

The licensee's Health and Safety training is completed, and CPR and First Aid certificate is current and expires on 01/2026. The licensee is in ratio today. All required forms are posted and visible for public review.
A notice of the site visit was given and must remain posted for 30 days. An exit interview was conducted and the report was reviewed with the licensee Senovia Brown.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2024
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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