197414748-6-9-2022-30-CC-JLAO-CF8SYF-20220609141727

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414748
Report Date: 06/09/2022
Date Signed: 06/09/2022 02:17:37 PM

Document Has Been Signed on 06/09/2022 02:17 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	RAZUVAEVA FAMILY CHILD CARE		FACILITY NUMBER:	197414748
ADMINISTRATOR:	RAZUVAEVA, NATALIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 888-3413
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91367
CAPACITY:	14	CENSUS: 13	DATE:	06/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Natalia Razuvaeva		TIME COMPLETED:	01:15 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	On 6/9/2022 Licensing Program Analyst (LPA), Judy Laureano conducted an unannounced Annual Required Inspection and was met by Natalia Razuvaeva, Licensee. LPA observed 13 children in the home with 2 additional adults during the inspections. Days and hours of operation are Monday through Friday, 8:00 a.m. to 6:00 p.m. LPA toured the home inside and outside and a census was taken. Home is a single story dweling, there has been no change to the physical layout to the facility. Licensee confirmed the play room, dinning room area and bathroom 3 area accessible to the children in care. All other rooms are OFF LIMITS and made inaccessible to the children. LPA observed door knob covers and safety latches on all doors leading to the OFF LIMITS area. Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. No poisons were observed during the inspection. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. They are located under the sink with a safety latch, making them inaccessible. Licensee confirmed detergent and additional cleaning supplies are kept in laundry room. There is no fire places or open face heaters in the home. There are two working fire extinguishers located in the play room and bathroom 3. LPA observed licensee test the smoke detector, carbon monoxide detector in the home. Facility has adequate heating and ventilation for safety and comfort. Home has three steps that led to the play room, LPA observed a safety gate ensure at the bottom of the 3rd step.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RAZUVAEVA FAMILY CHILD CARE	FACILITY NUMBER: 197414748
	VISIT DATE: 06/09/2022

NARRATIVE

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Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (818) 888-3414. Licensee requested to have her mobile number added to her file.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was no available for review. Licensee agrees to complete and submit proff of completed on 6/23/22. Licensee’s pediatric CPR/First Aid taken on 5/31/2022. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza are currently not available for review. LPA reviewed all other immunization records such as pertussis and measles. Licensee will ensure LIC508 Criminal Record Statement is completed.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

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.

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.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RAZUVAEVA FAMILY CHILD CARE	FACILITY NUMBER: 197414748
	VISIT DATE: 06/09/2022

NARRATIVE

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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.

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

Exit interview conducted and report was reviewed with the licensee Natalia Razuvaeva.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

LIC809 (FAS) - (06/04)

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