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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004270
Report Date: 04/07/2022
Date Signed: 04/07/2022 03:45:23 PM

Document Has Been Signed on 04/07/2022 03:45 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SHKOLNIK, LYUBA & NEMIROVSKAYA, YANINAFACILITY NUMBER:
384004270
ADMINISTRATOR:SHKOLNIK, LYUBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 902-6880
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
04/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lyuba ShkolnikTIME COMPLETED:
04:00 PM
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On April 7, 2022, Licensing Program Analyst (LPA), Van, conducted an unannounced required annual inspection and met with Licensee Lyuba Shkolnik. Co-Licensee, Yanina Nemirovskaya, was not present. The purpose of the inspection was explained and granted entry to the home by the Licensee. Present today are six children (2 infants and 4 preschoolers) with the Licensee and 2 helpers. The facility complies with the license capacity and limitations today. All adults living or working in the home have a criminal background clearance on file. The Licensee owns this single-family home consisting of two floors with four bedrooms and 5 ½ bathrooms. The home residents are Licensee, her husband, mom, and two minor daughters. Daycare areas are on the ground floor, consisting of room #1, room #2, room #3, 2 bathrooms, backyard, and the kitchen. OFF limit areas are the entire second floor and garage. Per Licensee, when a child shows signs of illness, the Licensee will separate and have the child waiting in room #1/main classroom while contacting the parent to pick them up. The Days and operation hours are 7:30 am – 6:00 pm, Monday – Friday.

LPA toured and inspected inside and outdoor play areas for health and safety hazards during the inspection. The following were observed, the daycare area is clean, orderly, and equipped with safe, age-appropriate toys, books, and play equipment. The home has adequate heating, lighting, and ventilation and is free from defects or conditions that endanger children in care. Children have their individual cubbies for their belongings. The home is equipped with a fully charged fire extinguisher, smoke and carbon monoxide detectors, and a working telephone and cellphone. Fully stocked first aid supplies are available for children. All playpens were observed in good condition, and there were no toys or pillows inside. The mattress pads were the exact size and had a fitted sheet. Cots were provided to older children. All unused electrical outlets had a child-proof cover. Poisons, detergents, and cleaning compounds are made inaccessible to children.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SHKOLNIK, LYUBA & NEMIROVSKAYA, YANINA
FACILITY NUMBER: 384004270
VISIT DATE: 04/07/2022
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The backyard play structures are age-appropriate,in good condition, and free of loose parts. There is soft artificial grass in the backyard to absorb accidental falls. There are no bodies of water in the facility. Per Licensee, there were no firearms, weapons, or pets in the home, and no baby walkers, bouncers, or any similar items in the daycare. Licensee understands that smoking is prohibited in family child care homes.

Licensee states fire and Earthquake drills are conducted on the first Monday of every month. The last drill was conducted on April 4, 2022. The facility provides breakfast, lunch, and morning & afternoon snacks. During the inspection, LPA reviewed random records of children present. The Licensee has complete records for children in care, including immunization records and Parents' Rights forms. LPA observed each child has a complete emergency information card with the child's full name, telephone number, and location of a parent or authorized representative to be contacted in an emergency. The name and telephone number of the child's physician and the parent's authorization for the Licensee to consent to emergency medical care. Licensee maintained her immunization records and has valid child care liability insurance in the file. Pediatric CPR/First Aid of licensee is valid. Licensees posted all the required forms, such as facility License, Notification of Parent's Rights, Earthquake Preparedness checklist, and Notification of Personal Rights.

LPA discussed the safe sleep regulations with the Licensees and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SHKOLNIK, LYUBA & NEMIROVSKAYA, YANINA
FACILITY NUMBER: 384004270
VISIT DATE: 04/07/2022
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The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensees were informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed AB 1207 with the Licensees. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA encouraged the Licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. The Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

The report was reviewed and signed by Licensee Lyuba Shkolnik. No deficiencies were observed in today's inspection. Today's report, 4/7/2022, and site visit notice will be sent to Lyuba Shkolnik email by the close of business on 4/7/2022. Confirmation of receipt is required, and a site visit notice must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
LIC809 (FAS) - (06/04)
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