073408318-8-14-2019-02-CC-GRED-BF2QBG-20190814120132

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408318
Report Date: 08/14/2019
Date Signed: 08/14/2019 12:01:45 PM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	VAYNAPEL, SVETLANA		FACILITY NUMBER:	073408318
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	08/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	VAYNAPEL, SVETLANA, LICENSEE		TIME COMPLETED:	12:15 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	Licensing Program Analyst (LPA) Redmond, arrived at the facility on 08/14/19 at 10:55 PM to conduct an unannounced, Annual/Random inspection visit. The purpose of the inspection is to ensure Licensee is in compliance with Title 22, CCR and Health and Safety Code statutes for a Family Day Care home. During the inspection, LPA met with Svetlana Vaynapel, Licensee. Licensee accompanied LPA during the inspection. LPA inspected all areas of the facility which are accessible to children. During the inspection, LPA made the following observations: Capacity/Staffing: The facility operates as a Family Day Care (small), with a capacity of eight (8) children. On this date, there are four (4) children in care and no infants. Licensee and her husband are present. The facility is in compliance with ratio and capacity requirements. "On Limit" Areas (accessible to children in care): · Classroom: has age appropriate and safe toys, books and equipment · Kitchen (dining area only): there are no cleaning solutions, poisons, sharps or other hazardous items accessible to children · Bedroom (one). Pack and play type devices for infant sleep · Restroom (two): available for children’s use. The toilet and sinks are in good repair. There are no cleaning solutions or other toxins accessible to children · Back yard (fenced area only): there are safe toys and equipment. There are no pools, hot tubs or other bodies of water present "Off Limit" Areas (not accessible to children in care): CONTINUED

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: VAYNAPEL, SVETLANA	FACILITY NUMBER: 073408318
	VISIT DATE: 08/14/2019

NARRATIVE

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· Private bedrooms
· Kitchen
· Back Yard (outside fenced area)

Physical Plant: Overall, the facility is clean and orderly and in good repair. There is adequate heating and ventilation. There are safe, healthful and comfortable accommodations, furnishings and equipment. There are no other visible chemicals and toxins or other hazards accessible to children on this date.

Emergency Preparedness/Safety: There are smoke and carbon monoxide detectors. LPA tested each and found each to be operable. There is a fully charged fire extinguisher, with an appropriate classification of (2-A:10-B:C). First aid supplies available. Emergency Disaster Plan is dated, 06/25/15 and is current, per Licensee. Fire and disaster drills were conducted on 06/06/19 and meet six month requirement. Facility utilizes a landline for phone service. Per the Licensee, there are no firearms present. The Licensee is not currently providing *Incidental Medical Services (IMS) for children in care and LPA discussed IMS requirements with Licensee.

Training/Record Review: Licensee and adults residing in the home have criminal background clearances and are associated to the facility. Licensee has current CPR/First Aid, which expires in 07/2021. Licensee provides care for infants. Licensee has current Mandated Reporter training, dated 11/08/17. LPA discussed new Safe Sleep requirements with Licensee and additional information can be obtained online at http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

Posted as required: Facility License, Emergency Disaster Plan, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something.

FACILITY IN SUBSTANTIAL COMPLIANCE. NO DEFICIENCIES CITED ON THIS DATE.

Exit interview conducted. This Facility Evaluation Report discussed with the Licensee and signature obtained below. Notice of site visit was issued and shall be posted remain posted for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty. A copy of this report shall be maintained for 3 years and available for public review upon request. Additional reminders and resources provided on next page. For forms, training videos, etc. www.ccld.ca.gov

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019

LIC809 (FAS) - (06/04)

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