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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004841
Report Date: 07/26/2024
Date Signed: 07/26/2024 04:40:44 PM

Document Has Been Signed on 07/26/2024 04:40 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:YURKEVICH, YEVGENIYAFACILITY NUMBER:
384004841
ADMINISTRATOR/
DIRECTOR:		YURKEVICH, YEVGENIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 819-1714
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/26/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Yevgeniya (Jane) YurkevichTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On July 26, 2024 at approximately 12:00pm, Licensing Program Analyst (LPA) Ly conducted an Unannounced Relocation Inspection to this family child care home and met with Licensee Yevgeniya (Jane) Yurkevich. Purpose of visit was explained. Present during the visit was just Licensee Jane Yurkevich. Per Licensee, there are 6 children in care today and they are at the park with the Assistants. Licensee Jane Yurkevich owns this two story home and resides here alone. There are two bedrooms and 1 bath downstairs; the living room, open kitchen dining area and a full sized bathroom on the second floor. The Two Assistants and 6 children returned to facility 10 minutes into inspection.

Licensee Jane Yurkevich has requested to relocated her license number 384002225 from 1664 11th Avenue, San Francisco to 1662 11th Avenue, San Francisco which formerly was a family child care operated by Licensee Jane Yurkevich's mother, Galina Berenshteyn license number 384002057. Licensee Galina Berenshteyn has surrendered her license to the department for the purpose of retirement.

Day care areas are one bedroom as the entrance to the day care on the ground floor, living room, open kitchen dining room, the bathroom on the second floor and the front yard. Off Limit Area is licensee's bedroom. Licensee’s Pediatric CPR/First is valid until 08/2024. Licensee stated she has scheduled to renew her Pediatric CPR/First Aid. Completed Child Abuse Mandated Reporter Training Certificate is on file and is valid until 08/2024. Required Immunization: Influenzas, Pertussis and Measles are on file. Fire Clearance has been granted by the San Francisco Fire Department under the name Yevegeniya Yurkevich on 07/16/2024.

LPA observed the home is clean orderly and properly ventilated. LPA also observed a 2A10BC Fire extinguisher, operable smoke detectors and carbon monoxide. There are no Fireplace or bodies of water in the home. Electrical outlets have child protective covers in place making them inaccessible to children. Chemical, detergents, cleaning compounds, medications, and other items of this nature are made inaccessible to children. Kitchen/Bathroom cabinets/drawers have child protective locks in place making all sharp objects or toxic house hold items inaccessible to children. First aid supplies are available for children.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: YURKEVICH, YEVGENIYA
FACILITY NUMBER: 384004841
VISIT DATE: 07/26/2024
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.


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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: YURKEVICH, YEVGENIYA
FACILITY NUMBER: 384004841
VISIT DATE: 07/26/2024
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Licensee was also 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 discussed Child Abuse Mandated Reporter Training AB1207 with Licensee. As of January 1, 2018 all staff will be required to complete Child Abuse Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

During today's visit, the LICENSEE YEVGENIYA YURKEVICH, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.


Prior to licensure:
* Remaining balance for Licensee Galina Berenshteyn license number 384002057 must be cleared.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3