<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004671
Report Date: 05/14/2024
Date Signed: 05/14/2024 04:19:58 PM

Document Has Been Signed on 05/14/2024 04:19 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:STRYUK, BOHDANFACILITY NUMBER:
384004671
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
05/14/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Bohdan StryukTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 14, 2024, at approximately 11:15am, Licensing Program Analyst (LPA) Ly conducted an Unannounced Case Management-Licensee Initiated Inspection for an increase capacity from a small family child care to a large family child care. LPA met with Licensee Bohdan Stryuk. Purpose of visit was explain. Present during the visit were Licensee and an Assistant caring for 2 preschool age children.

During today's visit, LPA and Licensee inspected the entire home. On this day, LPA inspected the back yard and found a wooden stair has been added in the yard. Per Licensee, stair was added to meet Fire Code. LPA also observed there's an on going construction to turn the garage into another living space. Per Licensee, garage will be converted into living space for family member and garage's living space has been granted permit by the Department of Building Inspection and will bear address 235A Lincoln Way.

Based on observation and interview, Licensee did not inform the department in regards to adding exterior stair in the backyard and the conversion of the garage in the home poses a potential health and safety risks to children in care. Licensee was advised to notify the department for any alteration of the building/home before construction begins. Type B deficiency being cited based on LPA Ly’s observation in accordance with the California Code of Regulations, Title 22, see LIC 809D.

Fire Clearance for the Large Family Child Care has been granted by the San Francisco Fire Department on 04/16/2024.

Per Licensee, day care areas are Living room as Playroom, dining room, Kitchen, bedroom for Nap room, Bathroom #1 and Bathroom #2 and the Yard. Off Limit Areas are Licensee's Bedroom, the laundry room on the second floor. Laundry room is to use as a passage way for children to go down to the yard. Off limit on the ground floor are the entire ground floor and the garage.

Approval of Large Family Child Care License is PENDING Department's Management's Review.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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 2
Document Has Been Signed on 05/14/2024 04:19 PM - It Cannot Be Edited


Created By: Winnie Ly On 05/14/2024 at 11:52 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: STRYUK, BOHDAN
FACILITY NUMBER: 384004671

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2024
Section Cited
CCR
102416.3(a)(1)(4)(b)

1
2
3
4
5
6
7
102416.3 Alterations to Existing Buildings or Grounds: (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following:
(1) Conversion of a garage.
(4) Construction of exterior decks or porches.
(b) The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.
These requirements are not met as evidence by:
1
2
3
4
5
6
7
Licensee will submit copy of an inspection report when an inspection is required by the local building inspector as a result of the alteration, addition or construction.
8
9
10
11
12
13
14
LPA observed a new stair has been added in the backyard to meet Fire Code. LPA also observed on going construction in the garage.
8
9
10
11
12
13
14
Licensee will submit all required documentation to the department by 05/28/2024.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Garfield Leung
LICENSING EVALUATOR NAME:Winnie Ly
LICENSING EVALUATOR SIGNATURE:
DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/14/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2