304313419-5-26-2022-06-CC-AGOK-CESQBR-20220526120156

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304313419
Report Date: 05/26/2022
Date Signed: 05/26/2022 12:02:36 PM

Document Has Been Signed on 05/26/2022 12:02 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	PRISYAZHNYUK, YULIA		FACILITY NUMBER:	304313419
ADMINISTRATOR:	PRISYAZHNYUK, YULIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(949) 870-2160
CITY:	IRVINE	STATE: CA	ZIP CODE:	92620
CAPACITY:	14	CENSUS:	DATE:	05/26/2022
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Julia Prisyazhnyuk and Vladislav Sluchenkov		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	An informal office meeting was conducted on this date, 5/26/22, with Licensee, Yulia Prisyazhnyuk and Licensee’s spouse, Vladislav Sluchenkov. In attendance was Licensing Program Manager (LPM) Patricia Magana and Licensing Program Analyst (LPA) Alanna Gontarek. The purpose of the informal meeting was to discuss the following items: 102416.5 Staffing Ratio and Capacity (2) Type ‘A’ deficiencies: (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c) On 3/5/2021, LPA Valencia observed the spouse of licensee caring for 8 children, one of which an infant, and none over the age of 4. (Substantiated Complaint) 102370 Criminal Record Clearance (2) Type ‘A’ deficiencies: (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record Exemption as required by the Department. On 2/8/2022, during tour of facility, at 9:00 a.m., LPA Gontarek observed 2 men sleeping in separate rooms. Licensee disclosed that Ozcelik Mehmet has not completed a Live Scan/Fingerprint Clearance Request and has been residing in the home since12/21.Jonathan Winters has not received a Criminal Record Clearance and has been residing in the home since 9/21. (CaseManagement- Other) On 5/4/2022, during a tour of facility, at 2:57 p.m., LPA Gontarek observed adult Olga Smiyan sitting, providing care and supervision while she was rocking, an infant. on the floor of the infant nap area. LPA asked Vlad if Olga had a criminal

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: PRISYAZHNYUK, YULIA	FACILITY NUMBER: 304313419
	VISIT DATE: 05/26/2022

NARRATIVE

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clearance, Vlad stated, "No”. Per licensee Olga comes at 12:30 p.m. and stays until 4:00 p.m. to help with nap time and cleaning. (Case Management-Other)

102352 Definitions
Type ‘B’ deficiency: (h) (1) "Home" means the licensee's residence as defined by Government Code
Section 244.

On 5/4/2022, Licensee and Licensee’s husband both admitted to living at a different residence since September 2021, stating that it was hard to live where they worked and wanted to live somewhere separate. Licensee and licensee’s husband admitted to living at a different location, declarations were obtained with their home address. (Substantiated Complaint)

1596.80 Child day care facilities, licenses
Type ‘B’ deficiency: No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefore as provided in this act.

On 3/5/2021, It was stated by several parents that for at least 2 months, the spouse/assistant of licensee provided care to other children at a nearby home. (Substantiated Complaint).

The department received a new application for spouse of licensee at a new location. Vladislav stated he is in application process. Per Vladislav, Licensee Yulia and spouse Vladislav are living in different households currently. LPM Magana advised Licensee to update lease agreement stating all adults/tenants need to be fingerprint cleared, and associated before initial presence in the home. LPM Magana advised Licensee to not have guests in the home during facility operating hours. LPM Magana advised Licensee and Licensee's spouse to remain in constant communication with the Licensing Department. LPA Gontarek advised Licensee to utilize Child Care Careers to access substitute teachers. LPA Gontarek signed Licensee and Licensee's spouse up for Provider Information Notices (PINs) on our website: www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates. LPA advised Licensee to review Guardian video tutorials, and use Guardian to associate adults to the license. LPM Magana advised Licensee and Licensee's spouse to attend Licensing Calls/Webinars.

LPA/LPM explained and provided the TSP Brochure. Licensee agreed to be referred for Technical Support Assistance (TSP).

Licensee will provide a copy of this report and LIC 9224 (Acknowledgement form).

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: PRISYAZHNYUK, YULIA	FACILITY NUMBER: 304313419
	VISIT DATE: 05/26/2022

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Upon receipt of this report pertaining to a conference conducted by a local Licensing Agency in which issues of non-compliance are discussed, the Licensee must: 1) Provide a copy of this report to the parent/guardian of children currently enrolled by the next business day or immediately upon return. 2) A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). 3) Obtain signature and date from the child's parent/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224. 4) Keep a record immediately upon receipt of the completed and signed LIC 9224 acknowledging receipt of this report in the child's file.

A copy of this report will be mailed to the R&R

Increased unannounced visits to the facility will be conducted by Community Care Licensing for the next 2 years to monitor compliance. The purpose of these increased inspections to ensure we as the Department are working with the licensees to ensure a return to compliance of regulation and code.

During the meeting LPA Gontarek registered licensee on department’s website at: www.cdss.ca.gov/inforesources/community-care-licensing to receive email updates and Provider Information Notices (PINs). LPA provided a copy of Title 22 regulations: Definitions (102352), Operation of a Family Child Care (102417), Personnel Requirements (102416), Criminal Record Clearance (102370), Staffing Ratio and Capacity (102416.5). LPA also provided a copy of Health and Safety Code: Child Care facilities, licenses1(596.80).

Licensee was reminded that all adults 18 and over, 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 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.
The following was discussed with the Licensee:
1. The licensee was advised that it is her responsibility to know & understand the requirements of Title 22 Regulations.
2. The licensee's facility must be in compliance at all times.
3. The licensee will be placed on required visits for two years.
4. The licensee was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms and regulations.
5. The licensee was advised to complete TSP.
Exit interview conducted with Licensee Yulia Prisyazhnyuk, who is in agreement with the above. A copy of this report was provided.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

LIC809 (FAS) - (06/04)

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