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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313419
Report Date: 05/02/2019
Date Signed: 05/02/2019 02:54:46 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/23/2019 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20190423144018
FACILITY NAME:PRISYAZHNYUK, YULIAFACILITY NUMBER:
304313419
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 9DATE:
05/02/2019
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Yulia PrisyazhnukTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Operating out of ratio; with too many infants.
Parent not allowed enterance into the facility.
INVESTIGATION FINDINGS:
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A 10 day complaint inspection was conducted by Licensing Program Analyst Dean Valencia. LPA met with the licensee and the licensee's spouse to discuss the above allegations. During the course of the investigation, the licensee and licensee's spouse were interviewed; and a physical plant inspection was conducted. During the investigation it was determined that the facility does not allow enterance to parents, into the facility during the nap time. In addition it was observed by LPA during the inspection that of the 9 children in care, 8 were infants. This constitutes two separate violations, of parent's rights and ratio respectively, and have been determined to be immediate threats to the children's health and safety. Based on information gathered during the investigation, it has been determined that the facility has been not allowing enterance to parents, violating their rights, and operating with too many infants, violating ratio regulations. The preponderance of evidence standard has been met, therefore the allegations have been found to be substantiated. California Code of Regulations Title 22 section 102416.4(b)(1) and 102419(a)(1) are being cited on the attached LIC 9099D. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100 per day. (continued on LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean ValenciaTELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20190423144018
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 05/02/2019
NARRATIVE
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The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. First level appeal is to Regional manager, address is above on the report. This report is to be on file and accessible for public review at the facility for at least 3 years.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 9099D. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean ValenciaTELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20190423144018
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/02/2019
Section Cited
CCR
102416.5(b)(1)
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For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following:
(1) Four infants

LPA observed nine children in care, eight
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The licensee and licensee's spouse stated that they will immediately begin disenrolling children to return to compliance. An email will be sent to LPA detailing the plan for returning to ratio compliance.
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of which are infants. This is an immediate threat to the children's health and safety.
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Type A
05/02/2019
Section Cited
CCR
102419(a)(1)
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The licensee shall inform parents or authorized representatives of children in care of their rights, which include, but are not limited to, the following: (1) To enter and inspect the family child care home in accordance with Health and Safety Code Section 1596.857.
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The licensee and licensee's spouse stated that they will immeidately stop disallowing parents to visit or enter the home during nap times. A copy of Parent's Rights Regulations was provided for the licensee and licensee's spouse, and they acknowledge and understand these regulations.
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The facility has not been allowing parents to enter the facility during nap time. This is in direct violation of the parent's rights to enter and inspect the home, and determined to be an immediate threat to the children's health and safety.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean ValenciaTELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3