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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004270
Report Date: 10/27/2023
Date Signed: 10/27/2023 10:02:31 AM

Document Has Been Signed on 10/27/2023 10:02 AM - 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: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: 10DATE:
10/27/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Lyuba ShkolnikTIME COMPLETED:
10:15 AM
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On October 27, 2023, Licensing Program Analyst (LPA) Van met with the Licensee, Lyuba Shkolnik, for an unannounced inspection of the Plan of Correction (POC). Co-Licensee Yanina Nemirovskaya was not present during the visit. The purpose of the inspection was explained, and the Licensee granted LPA entry to the home. There were ten preschool-aged children in care with the Licensee and a helper today.

During the October 4, 2023, annual inspection, the Licensee was cited for several deficiencies. One of these was that both Licensees did not maintain immunization records for themselves and their helper. Additionally, a Type A citation was also issued, as the Licensee’s helper provided care for ten preschool-aged children while both helpers were not at home during the annual visit.

In today's inspection, the records for all staff were reviewed. The records confirmed that all staff members have their immunization records completed and on file. Furthermore, the licensee adhered to her licensed capacity and limitations today. During today's inspection, LPA only observed ten preschoolers supervised by the licensee and her helper. All the deficiencies cited on October 4, 2023, were cleared today.

An exit interview was conducted with the Licensee, and a consultation was provided. In today's inspection, no deficiencies were observed. The Licensee, Lyuba Shkolnik, read and signed the report. Today's report and notice of the site were provided to the Licensee. LPA informed the Licensee that a site visit notification must be 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: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2023
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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