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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004061
Report Date: 03/13/2025
Date Signed: 03/13/2025 12:09:49 PM

Document Has Been Signed on 03/13/2025 12:09 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KHILKO, NATALIAFACILITY NUMBER:
414004061
ADMINISTRATOR/
DIRECTOR:		KHILKO, NATALIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 839-1526
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/13/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Natalia KhilkoTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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On March 13, 2025, @ approx. 10:20 am, Licensing Program Analyst (LPA) Maria Olguin-Leon met with Licensee Natalia Khilko to conduct an unannounced annual inspection. The purpose of the inspection was explained to licensee. Present during today’s visit was licensee and no children. Hours of operation will be Monday– Thursday, 9:00 am – 5:30pm and Friday, 9:00 am - 5:00 pm.

LPA and licensee toured the home for health and safety hazards. The DAY CARE AREAS: living room (main classroom), bedrooms #1 & #2, bathroom, kitchen, and backyard. The OFF-LIMIT AREAS: Bedroom #3, garage, and front yard. Fireplace in living room is properly barricaded with a bookcase. Kitchen is equipped with two accordion doors. Electrical outlets are properly secured with child proof covers and blocked with furniture. Home has proper ventilation and lighting throughout home. Cleaning supplies and other potentially harmful items are stored inaccessible to children in care. Living room is equipped with learning toys/materiasl, child size furnishing, books and sleeping mats. The entire backyard is equipped with a 5 ft. wood fence. LPA observed a wood deck and remainder of yard is grass to cushion fall. LPA observed toy trucks and a wagon in good repair. LPA did not observe any pools, spas, or other bodies of water.

Home is equipped with working carbon monoxide detector and working smoke detector. LPA observed a new fully charged fire extinguisher stored in kitchen cabinet. Isolation area for ill children will be in bedroom #1 and away from other children. First aid kit is fully stocked with supplies. Licensee has a landline and uses a cell phone on the premises. Per licensee, there are no weapons or firearms in the home.

Licensee currently had no children enrolled; no files were reviewed. Licensee CPR/FA is current and expires 10/2025. Licensee’s Mandated Reporter training expires 11/2025. Per licensee, licensee provides meals to children in care, which includes breakfast, lunch and two snacks. LPA reminded licensee to label children's food/bottles brought from home. LPA observed Childcare License, Emergency Disaster Plan (LIC610A) and Parent's rights posted. Due to no children currently enrolled disaster drills have not been conducted.

Cont. Page 2...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KHILKO, NATALIA
FACILITY NUMBER: 414004061
VISIT DATE: 03/13/2025
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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.

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 reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare 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 reviewed AB 1207 with the Licensee.

As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. LPA reminded licensee about Mandated Reporter training available www.mandatedreporterca.com

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 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.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KHILKO, NATALIA
FACILITY NUMBER: 414004061
VISIT DATE: 03/13/2025
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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.

During the exit interview, licensee Natalia Khilko confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

As of today, no deficiencies were issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee, Natalia Khilko.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
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