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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000536
Report Date: 05/09/2024
Date Signed: 05/09/2024 04:59:02 PM

Document Has Been Signed on 05/09/2024 04:59 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:NIKCHEMNY, VIKTORIYAFACILITY NUMBER:
384000536
ADMINISTRATOR/
DIRECTOR:		NIKCHEMNY, VIKTORIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 317-5880
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
05/09/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:50 PM
MET WITH:Viktoriya NikchemnyTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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On May 9, 2024, at approximately 1:05 pm., Licensing Program Analysts (LPAs) Van and Basak conducted an unannounced inspection of the Plan of Correction (POC). LPAs arrived at the front gate and rang the doorbell multiple times, but there was no answer. LPAs tried to contact the licensee through the licensee’s phone and left a detailed message. Around 1:30 pm, the licensee called back and explained that she had fallen asleep and didn't hear the doorbell.

At 3:50 p.m., LPAs returned to the facility again. The licensee opened the door. After explaining the purpose of the inspection, the licensee granted LPAs entry to the home. The licensee and two helpers supervised 11 children today (2 infants and 9 preschoolers).

During the annual inspection on May 3, 2024, several deficiencies were identified at the facility. Among them, the Licensee did not have the mandated reporter training completed or available for review. In addition, all play yards in the childcare areas were observed loosely and not properly fitted, which did not comply with the infant's safe sleep.

During today's inspection, LPA found that all play yards had been rectified with proper and tight-fitted bedsheets. The licensee also submitted a picture of the completed mandated reporter training certificate, which was completed on May 3, 2024. As a result of these corrections, all deficiencies cited were cleared.

An exit interview and consultation were conducted with the Licensee. No deficiencies were observed in today's inspection.

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with the licensee, Viktoriya Nikchemny.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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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