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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004932
Report Date: 08/05/2025
Date Signed: 08/05/2025 01:23:50 PM

Document Has Been Signed on 08/05/2025 01:23 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SAFARI KID REDWOOD CITYFACILITY NUMBER:
414004932
ADMINISTRATOR/
DIRECTOR:		MILLER-MACIAG, DENISEFACILITY TYPE:
830
ADDRESS:1709 WOODSIDE ROADTELEPHONE:
(408) 771-8292
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
08/05/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Shanu MathurTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On August 5, 2025, at approximately 9:50am, Licensing Program Analyst (LPA) Maria Olguin-Leon, conducted an unannounced case management inspection at Safari Kid Redwood City. The facility submitted an application for an increase of capacity for the infant program. LPA met with Ownerr, Shanu Mathur, and explained the purpose of the inspection. Facility was closed this week for summer break and no staff or children were present. Facility operates Monday – Friday 8:00am – 5:30pm.

Facility is a licensed combination program for infants and preschool w/toddler option. Infant program is currently licensed for 12 infants (3mths – 18mths). Room #4, which was previously the toddler room, is being converted into an infant classroom for older infants 12-24. The toddler component is being removed from preschool program, thus decreasing the preschool capacity. Facility is requesting to be licensed for 36 infants. Classroom #5 will be younger infants ages 3mths – 15 mths and adding classroom #4 to infant program for infant 12 mths to 24 mths. The owner was reminded that preschool children cannot commingle with the infant program.

Classroom # 4, previously a toddler classroom, was measured today for the infant program for older infants 12 mths.– 24 mths. Classroom #5 will remain an infant classroom for infants ages 3 mth. to 15 mths. Classroom #4 measured 999.80 square feet, which is sufficient to accommodate the requested capacity of 36 infant children.

The classroom includes a changing table with a diaper changing pad next to a sink. LPA observed the classroom to be equipped with a variety of toys and sleeping cots that are in good condition. Storage cubbies and hooks are available for children to store personal belongings. Facility is equipped with childproof electrical outlets. LPA observed storage cabinets secured with childproof latches. The classroom is equipped with a restroom with two toilets, a portable toilet and sinks. During today’s visit, LPA observed classrooms in the process of being cleaned and being touch up with paint. Per Owner, no other furniture will be added to classroom #4.

Cont. page 2...
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SAFARI KID REDWOOD CITY
FACILITY NUMBER: 414004932
VISIT DATE: 08/05/2025
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There are fire extinguishers located in the hallway of facility and a first aid backpack is stored in classroom. Carbon monoxide detectors and smoke alarm are integrated into fire alarm system.

Outdoor area previously measured for a total usable square footage of 4960 sq. ft., allowing for the desired capacity of 36 infant children. The outdoor playground is enclosed with a 5-foot fence and exit gates are equipped with alarms when opened. LPA observed plenty of age-appropriate equipment and in good condition. Flooring is poured rubber to cushion and absorb falls. LPA observed canopies to provide shade to children in care.

The owner was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA will approve infant capacity increase to the infant program, pending approved fire inspection clearance. LPA collected outdoor waiver request for outdoor shared space.

A copy of this report, and the “Notice of Site Visit” were given to the owner . 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 Director, Shanu Mathur.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
LIC809 (FAS) - (06/04)
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