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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408318
Report Date: 07/28/2021
Date Signed: 07/28/2021 11:56:22 AM

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, SVETLANAFACILITY NUMBER:
073408318
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
07/28/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:18 AM
MET WITH:Svetlana VaynapelTIME COMPLETED:
12:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Caroline Colson met with Svetlana Vaynapel and her adult son, Gordon Vaynapel for an unannounced increase in capacity prelicensing inspection at 10:18 AM. There are 3 infants and 3 preschool children present. The home was toured to conduct a health and safety inspection. One child's record was reviewed by the LPA and the licensee on July 28, 2021 at 11:29 AM. C1 has a complete file. LPA made the following observations:

The home is a two story home. The home consist of two upstairs bedrooms, one upstairs bathroom, three downstairs bedrooms, living room, kitchen, two downstairs bathrooms, unfenced front yard, fenced back yard, shed, garage and converted in-law apartment that she uses as an office. Apart of the fenced back yard will be used for the outdoor play space. The entire upstairs area of the home, kitchen, unfenced front yard, the other half of the fenced back yard not being used for outdoor play space, shed, office and garage are the off limit areas. There is 2A10BC fire extinguisher, working smoke detector and working carbon monoxide detector. She has central heating. Mrs. Vaynapel states that there are no firearms in the home. There are toys available for the children. Her CPR and First Aid certificates are current and expire on June 30, 2023. The isolation area will be in the living room. There are no pets. Fire Clearance was received.

The home is ready to be licensed as a large family day home.

Please see LIC 809 C for additional information
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
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: 07/28/2021
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REMINDERS/RESOURCES
· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

Individual Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 (US DOJ) 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.

An exit interview was conducted. This report must be available for public review for 3 years. Appeal Rights and Notice of Site Visit was given and posted.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
LIC809 (FAS) - (06/04)
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