414005376-8-7-2026-05-CC-KKRN-DWQSBS-20260807134421

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414005376
Report Date: 08/07/2026
Date Signed: 08/07/2026 01:46:02 PM

Document Has Been Signed on 08/07/2026 01:46 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:	ANATSKO, ASIA		FACILITY NUMBER:	414005376
ADMINISTRATOR/ DIRECTOR:	ANATSKO, ASIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 213-9168
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/07/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:00 AM
MET WITH:	Asia Anatsko		TIME VISIT/ INSPECTION COMPLETED:	01:30 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 August 7, 2026, at approximately 8:00AM Licensing Program Analyst (LPA) Katie Krenn conducted an announced pre-licensing visit at the address listed above. LPA met with Applicant, Asia Anatsko, and explained the purpose of the visit. The applicant and another adult living in the home was present during the visit. There were no children in care on this day. Currently the applicant’s planned operating hours will be from 8:00AM to 6:00PM, Monday to Friday. All adults living in the home have received fingerprint clearance. Daycare Areas: Living Room, Bedroom #1, Bedroom #2, Bathroom #1, Dining Area, and Backyard. Off-limits Areas: Kitchen, Family Room, Garage, and the entire second level, including Bedroom #3, Bedroom #4, Bathroom #2, and Bathroom #3. Applicant confirmed that there are no swimming pools, fountains, spas, or other similar bodies of water present. LPA and Applicant inspected the home for any health or safety hazards. LPA observed there to be a fully charged 3A40BC fire extinguisher, multiple first aid kits, and an emergency backpack complete with essential supplies. LPA observed a carbon monoxide detector and smoke detector outside of the bedrooms, between the living room and the dining area. LPA tested both and found it to be operational. LPA did not observed any accessible electrical outlets. LPA observed doorknob covers and child safety gates to prevent children’s access of off-limits areas. LPA observed that the cabinets in Bathroom #1 has not been secured with child proof locks. LPA inspected them and found no hazardous materials. LPA verified that Applicant’s phone number and email address were current during the visit. continued on page 2

Daniel J Oquendo
Katie Krenn
	DATE: 08/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: ANATSKO, ASIA	FACILITY NUMBER: 414005376
	VISIT DATE: 08/07/2026

NARRATIVE

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LPA observed there to be age-appropriate toys and learning materials present in the Living Room. LPA observed shelving, cubbies, and bins to store children’s personal belongings. In each bedroom on the first level, LPA observed five toddler beds and a crib, with the necessary bedding. In the bathroom LPA observed potty chairs, stools, a changing pad, and diapering supplies.
In the dining area LPA observed two children’s tables, with chairs, and three high chairs.

Applicant stated that they do plan to offer meals and snacks, but will also allow parents to bring food for the children. LPA discussed food storage, food allergies, and storage of medication. Medication shall be stored in a central location that is inaccessible to children in care, be clearly labeled for each child, and will have clear written instructions for administering medication. Applicant stated that use of medication will be discussed with parents.

LPA observed the backyard to be enclosed by a fence that is at least four feet high. Access to the sides of the house are barricaded with child fencing and gates. The backyard is fully furnished with appropriate toys, play structures, bikes and cars for ridding. LPA observed some spider webs in the play house and instructed applicant to inspect it regularly and clean out the spider webs. Applicant stated that she understood. LPA observed a covered sandbox, applicant said that they have ordered sand and are awaiting it. LPA advised to inspect the sandbox daily and keep it covered when it’s not in use. LPA also advised applicant to watch the cover and other areas where water can collect and be sure to dump and collecting water as standing water is hazardous for attracting pests like mosquitos. Applicant stated that they understood and that they would check regularly for spider webs and standing water.

LPA reviewed Applicant’s records and found that their Mandated Reporter Training (MRT) and Pediatric First Aid/CPR training are current. Applicant used an EMSA approved training program. LPA reminded Applicant that both the MRT and First Aid/CPR need to be renewed every two years and that current copies need to be available for review. Applicant stated that they understood.

LPA discussed with Applicant the requirement to be present in the home ensuring that children are supervised. In the event of a temporary absence, Licensee shall arrange for a substitute adult to provide care and supervision for children. A suitable adult shall have fingerprint clearance, MRT certification, and First Aid/CPR. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per month. Applicant shall notify the licensing office of planned closures and absences.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026

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: ANATSKO, ASIA	FACILITY NUMBER: 414005376
	VISIT DATE: 08/07/2026

NARRATIVE

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LPA had requested some additional required paperwork to complete applicant’s file. Applicant had copies of the requested paperwork prepared for LPA. LPA reviewed the copies and took them back to the office to complete applicant’s file.

LPA confirmed that applicant has the appropriate experience from working at a child care center for multiple years, in order to start with a large capacity.

LPA reviewed the pre-licensing packet with the Applicant going over all the required postings, required forms and paperwork. LPA reviewed all the required documents that applicant must maintain for both children and staff. Copies of required forms and Entrance Checklist was provided to the applicant. LPA reviewed the ratio and capacity of a small and large family child care home license.

At this time there is currently an active license at this address. As a result LPA is unable to approve the license today. LPA instructed applicant to contact applicant’s friend and current licensee, Hulizar Mishyna, whom currently has an active license at this address and request that their friend close out the license at this address. LPA will also contact the licensee and provide instructions for closing their license.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026

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: ANATSKO, ASIA	FACILITY NUMBER: 414005376
	VISIT DATE: 08/07/2026

NARRATIVE

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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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with applicant 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 applicant 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.

Applicant was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/ subscribe and select the Child Care option to receive email communication.

Prior to licensure of current applicant, the current license for a different licensee at this address must be closed.

Exit interview conducted and report was reviewed with the applicant, Asia Anatsko.

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2026

LIC809 (FAS) - (06/04)

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