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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004696
Report Date: 01/03/2024
Date Signed: 01/03/2024 04:48:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2023 and conducted by Evaluator Brendon Van
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20231020135315
FACILITY NAME:LEVINA, VIOLETTA & NIKOLSKAIA, IANAFACILITY NUMBER:
384004696
ADMINISTRATOR:LEVINA, VIOLETTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 409-9017
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:14CENSUS: 5DATE:
01/03/2024
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Levina ViolettaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating over capacity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 3, 2024., Licensing Program Analyst (LPA) Van conducted an unannounced inspection to finalize this complaint and deliver the findings to the Licensee. LPA met with the Licensee, Violetta Levina. Co-licensee Iana Nikolskaia was not present. The purpose of the inspection was explained, and entry to the home was granted. The Licensee and a helper supervised 5 children (four infants and one preschooler). The Licensee complied with her licensee capacity and limitations.

As part of the investigation, LPA interviewed parents of children attending the childcare home and staff members and reviewed all pertinent documents. The licensee kept records of the children's schedules and sign-in/out sheets, which indicated that they were always in compliance with regulations. Additionally, the records showed that the licensee had the maximum number of four infants as required by their license. The information provided by parents also supported the licensee's records.

The Department has investigated the above allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

An exit inspection was conducted with the Licensee. A copy of the report was provided to the Licensee at the conclusion of the inspection. LPA informed the Licensee that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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