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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004709
Report Date: 03/11/2025
Date Signed: 03/11/2025 11:17:16 AM

Document Has Been Signed on 03/11/2025 11:17 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:MASALITINA, OLENAFACILITY NUMBER:
384004709
ADMINISTRATOR/
DIRECTOR:		MASALITINA, OLENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 742-0593
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/11/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Olena MasalitinaTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On March 11, 2025 at approximately 10:00am, Licensing Program Analyst (LPA) Ly conducted a Plan of Correction (POC) Visit and met with Licensee Olena Masalitina. Purpose of visit was explained. Present during the visit were Licensee and an Assistant caring for 4 infant age children and 1 preschool age child.


The POC is regarding Type B deficiency cited on 2/26/2025:
Citation was cited for facility did not have an Assistant but was operating according to Large Family Childcare Capacity. Licensee was advised If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care.


On this day, LPA observed an Assistant is present. LPA also reviewed children's files. Based on LPA's observation and files reviewed, facility is operating within license capacity requirements. Type B deficiency cited on 02/26/2025 is cleared on this day and letter of clear deficiency provided to Licensee Olena Masalitina.


A copy of this report was discussed and left with Licensee whose signature on this form confirm receipt of the report. Notice of Site Visit was provided. Notice to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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