<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002057
Report Date: 02/13/2024
Date Signed: 02/13/2024 12:23:48 PM

Document Has Been Signed on 02/13/2024 12:23 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:BERENSHTEYN, GALINAFACILITY NUMBER:
384002057
ADMINISTRATOR:BERENSHTEYN, GALINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 819-1714
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
02/13/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Maria Nefedova TIME COMPLETED:
12:30 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 February 13, 2024, at approximately 10:45AM, Licensing Program Analysts (LPA) Ly conducted an unannounced Plan of Correction visit. The children are at the park. LPA called the number listed for the facility and spoke to Licensee's daughter Jane Yurkevich. Purpose of the inspection was explained. Licensee is not present during today's visit. There were 2 Assistants caring for 6 children during today's visit.

Citation cited on 12/15/2023 regarding Licensee not being present at the day care 80% of the operating hours is still pending the surrender of her license as family member have stated Licensee have decided to retire.

Per discussion with Licensee's daughter, Jane Yurkevich over the phone, she will surrender her mother's license this week and submit a relocation request to relocate her current inactive license at 1664 11th Avenue, San Francisco, CA 94122 to her mother's address 1662 11th Avenue, San Francisco, CA 94122.

This report has been discussed with Maria Nefedova and an Assistant sign this report whose signature on this form confirm receipt of these reports.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
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 1