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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004778
Report Date: 04/06/2023
Date Signed: 04/06/2023 02:46:54 PM

Document Has Been Signed on 04/06/2023 02:46 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BEGIYEVA, KHILOLA & SAFAYEVA, MALIKAFACILITY NUMBER:
414004778
ADMINISTRATOR:BEGIYEVA, KHILOLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 867-6250
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
04/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Khilola BegiyevaTIME COMPLETED:
03:30 PM
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On April 6, 2023 at approximately 12:45pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Khilola Begiyeva, and explained the purpose of the inspection. Present during LPA's visit included both licensees, two assistant teachers and 11 preschool children. Facility is operating within capacity limits and ratio during LPA's visit.

Hours of operation are Monday to Friday 8:30am to 5:30pm. All adults living and/or working in the home have fingerprint clearance on file.

Licensees live in the mulit-level home. The DAY CARE AREAS are the living room (main classroom), dining area, family room (playroom), nap room (located next to playroom), bathroom #1 and backyard. The OFF LIMIT AREAS include the kitchen (pass by only), garage and entire second level of home. Off limit areas are made inaccessible with a child safety gate and/or locked doors.

With licensee, LPA toured day care areas of home. Licensees operate home as a Russian immersion program. LPA observed home to be in good repair with proper temperature and ventilation. Living room, dining area, and play room were equipped with a variety of age appropriate toys and materials that were in good working condition. Living room includes a fire place that is appropriately barricaded. LPA observed poisons, cleaning supplies and solutions to be made inaccessible, located in home's high shelves. Children's napping area was observed to be clean with appropriate bedding equipment.

Bathroom for children's use was observed to be clean and in proper working condition. Bathroom is equipped with appropriate toileting equipment and appropriate sanitation products. LPA did not observe any poisons, chemicals or hazardous materials in accessible drawers.

Home is equipped with a fully stocked first aid kit, fully charged fire extinguisher, fully stocked emergency backpack, and a working smoke/carbon monoxide detector. Per licensee, there are no weapons or firearms in the home.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BEGIYEVA, KHILOLA & SAFAYEVA, MALIKA
FACILITY NUMBER: 414004778
VISIT DATE: 04/06/2023
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Entire outdoor area is enclosed with an at least 5 ft. high fence. LPA observed outdoor area to be equipped with outdoor toys and materials that were observed to be in proper working condition. Outdoor area includes a sand box that is properly covered. LPA did not observe any pools, spas or bodies on water on site.

LPA observed licensing documentation to be properly posted and available for review. Licensees maintain a child care roster that is up to date and made available for review. LPA reviewed six children's records, that were complete. Children's files have a record of emergency identification information on file.

LPA reviewed both co-licensees and two assistant teachers' files. All staff present have a valid CPR certification that will expire 01/2025. Both licensees have a current Mandated Reporter certification that will expire 03/2025. All staff present had proof of required immunizations that were made available for review. Emergency drills are conducted at least once every six months and are properly documented. Last disaster drill was conducted 03/07/2023.

Licensee was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.622.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BEGIYEVA, KHILOLA & SAFAYEVA, MALIKA
FACILITY NUMBER: 414004778
VISIT DATE: 04/06/2023
NARRATIVE
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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/process.

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.

No deficiencies were cited today under CCR, Title 22, Div. 12.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Khilola Begiyeva.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
LIC809 (FAS) - (06/04)
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