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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313419
Report Date: 05/04/2022
Date Signed: 05/05/2022 09:14:30 AM

Substantiated


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
02/03/2022 and conducted by Evaluator Alanna Gontarek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220203160156
FACILITY NAME:PRISYAZHNYUK, YULIAFACILITY NUMBER:
304313419
ADMINISTRATOR:PRISYAZHNYUK, YULIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 870-2160
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: 9DATE:
05/04/2022
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Vlad Prisyazhnyuk, licensee's spouse/assistantTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee resides in another home.
Adult smoking in the home.
INVESTIGATION FINDINGS:
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On 4/27/2022, Licensing Program Analyst (LPA) Alanna Gontarek conducted a follow-up inspection to deliver the findings regarding the above complaint allegations. LPA Gontarek met with licensee, Yulia Prisyazhnyuk. The Covid-19 Emergency Response questionnaire was asked prior entering the facility. A tour of the facility was conducted, and a census was taken. LPA observed a total of 2 napping infants, 6 preschool children, 3 with 2 staff upon arrival. LPA observed 3 napping preschool children. LPA reviewed staff criminal clearance records on this date indicating one adult present during this inspection to not have received criminal record and child abuse index clearances or exemptions prior to initial presence in the facility. Citation was issued.

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.
(Page 2 of Report)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
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 7
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
02/03/2022 and conducted by Evaluator Alanna Gontarek
COMPLAINT CONTROL NUMBER: 06-CC-20220203160156

FACILITY NAME:PRISYAZHNYUK, YULIAFACILITY NUMBER:
304313419
ADMINISTRATOR:PRISYAZHNYUK, YULIAFACILITY TYPE:
810
ADDRESS:70 DECKERTELEPHONE:
(949) 870-2160
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: 9DATE:
05/04/2022
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Vlad Prisyazhnyuk, licensee's husband/assistantTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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9
Licensee is absent from the facility for over 20% of operating hours.
INVESTIGATION FINDINGS:
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On 4/27/2022, Licensing Program Analyst (LPA) Alanna Gontarek conducted a follow-up inspection to deliver the findings regarding the above complaint allegations. LPA Gontarek met with licensee, Yulia Prisyazhnyuk. The Covid-19 Emergency Response questionnaire was asked prior entering the facility. A tour of the facility was conducted, and a census was taken. LPA observed a total of 2 napping infants, 6 preschool children, 3 with 2 staff upon arrival. LPA observed 3 napping preschool children. LPA reviewed staff criminal clearance records on this date indicating one adult present during this inspection to not have received criminal record and child abuse index clearances or exemptions prior to initial presence in the facility. Citation was issued.

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 Center. 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.
(Page 2 of Report)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 06-CC-20220203160156
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: 05/04/2022
NARRATIVE
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Page 2: Unsubstantiated
On 2/3/2022, the Department received a complaint from Reporting Party (RP) alleging: Licensee is absent from the facility for over 20% of operating hours.

LPA interviewed reporting party on 2/7/2022, who stated that the licensee is absent from the facility over 20% when day care is operating.

During the course of this investigation, LPA conducted interviews with the Reporting Party (RP), 5 children’s authorized representatives, Licensee, Licensee’s spouse (S2), Licensee’s Assistants (S1) and (S3), and 2 children on 2/8/2022. LPA reviewed and obtained the following documentation: Facility Roster and written declarations from Licensee and Licensee’s spouse.

On 2/8/22, during interview conducted with Licensee, she stated that she is at the facility from 7:30 a.m. to 8:00 p.m. Licensee stated, she arrives around 7:30 a.m. to prepare breakfast and lunch, and stays the latest 8:00 p.m. Licensee also disclosed that from 10:00 a.m. to 12:00 p.m., after her husband/assistant arrives to the day care, Licensee leaves the facility to do paperwork or to work on curriculum, and/or goes to the bank. Per licensee, there are 2 other assistants present when she leaves the facility for the 2 hours. Per Licensee and Licensee’s spouse, both stated they come to the daycare during operating hours, and stay after hours to clean, cook, and prepare for the following day. Declarations were obtained from Licensee and Licensee’s husband.

During interviews conducted with 2 children, both children stated Licensee, leaves the day care. C1 stated licensee leaves when children nap and will return when children wake up from nap. C2 stated Julia will leave the day care to take breaks.

During interviews conducted with staff, S1 stated licensee leaves the day care before lunch time, for approximately 30 to 45 minutes, and returns to the day care to relieve S1 for a break. S3 stated licensee is at the day care all day, and has not observed license leave the day care during S3’s work hours. S1 and S3 both stated the licensee and licensee’s husband are present during the hours of operation.

During interviews conducted with 5 parents, 5 out 5 parents made no disclosures.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 06-CC-20220203160156
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: 05/04/2022
NARRATIVE
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Page 3: Unsubstantiated
Based on the information gathered from LPAs' interviews with Licensee, children, and staff on 2/8/22, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted with Licensee, Yulia Prisyazhnyuk. A copy of this report and the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights. A Confidential Names list (LIC811) was provided during this visit. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

-End of report-
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 06-CC-20220203160156
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: 05/04/2022
NARRATIVE
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Page 2:
On 2/7/2022, LPA interviewed reporting party (RP), who stated that the licensee resides in another home and that there are two employees solely working in this condo during the daytime. RP stated one of the employees smokes heavily inside the condo. LPA was not able to obtain further information.

During the course of this investigation, LPA conducted interviews with the Reporting Party (RP), 5 children’s authorized representatives, Licensee, Licensee’s spouse (S2), Licensee’s Assistants (S1) and (S3), and 2 children on 2/8/2022. LPA reviewed and obtained the following documentation: Facility Roster, Rental Agreement, Utility bill water, and written declarations from Licensee and Licensee’s spouse.

Pertaining to the allegation: Licensee resides in another home, during interview conducted with Licensee, Yulia Prisyazhnyuk, on 2/8/22, she admitted to living at a different residence since September 2021, stating it's hard to work and live where she works, and wanted to sleep at a different place from where she worked. Licensee’s husband also admitted to living in another residence, stating that he wanted the separation from work and home. Declarations were obtained from Licensee and Licensee’s spouse. Licensee and licensee’s husband admitted to living at address: 131 Alder Ridge Lake Forest, 92610. Per Licensee and Licensee’s spouse, both come to the daycare during operating hours, and stay after hours to clean, cook, and prepare for the following day. During visit on 2/8/22, LPA observed 3 adults present in the home, occupying each room, during the visit. Per licensee, there are 3 renters renting out the 3 bedrooms of the home. During record review, LPA observed 2 out of the 3 adults present, whom reside in the home, did not have criminal record clearances. Citation were issued.
Pertaining to the allegation: Adult smoking in the home, during interviews conducted with 2 children and 2 staff ((S1 and (S3)), no disclosures were made, stating no one was observed smoking inside the home. During interview conducted with Licensee, LPA asked if anyone smokes cigarettes in the home, and the Licensee stated A1/renter usually smokes downstairs, but never around children. She stated her A1 would smoke after children leave, only after 5:00 p.m. During interview with Licensee’s spouse (S2), S2 stated (A1) smokes cigarettes by the front door, outside, and not during work hours, after 6:00 p.m. During the inspection on 2/8/22, LPA observed a folded towel placed at the bottom of A1’s bedroom door. Per Licensee, she was unsure why there was a towel placed at the bottom of the door. At 4:10
(Page 3 of Report)
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20220203160156
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: 05/04/2022
NARRATIVE
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Page 3:
p.m., LPA conducted interview with Licensee’s brother. During interview with Licensee’s brother, Licensee’s brother disclosed he smokes cigarettes in the bathroom inside of his bedroom, and blows the smoke into the ceiling vent during daycare hours.

During interviews conducted with 5 parents, 5 out 5 parents made no disclosures regarding allegations.

Based on the information gathered from LPAs' interviews with licensee and her husband, it was confirmed that they are no longer living in the home due to licensee and licensee’s spouse own admittance. Based on interview conducted with Licensee's brother, he confirmed he smoked inside the home during daycare hours. Declaration for licensee and licensee’s husband were obtained. The preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, Title 22 are being cited on the attached LIC 9099D.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year. LPA provided LIC 9224 form.

Exit interview conducted with Licensee, Yulia Prisyazhnyuk. A copy of this report and the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights. A Confidential Names list (LIC811) was provided during this visit. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

(End of Report)
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 7
Control Number 06-CC-20220203160156
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: 05/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2022
Section Cited
CCR
102424
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Smoking Prohibition (a) Smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). A1 admitted to smoking in the home while children were present. This requirement was not met as evidenced by: During interview conducted with A1 on 2/8/22, A1 admitted to smoking
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Per licensee, A1 moved out of facility immedaited on 2/8/22.
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 inside the bathroom during the daycare hours, and stated, “I blow the smoke directly into the vent.” This poses a potential health, safety, and personal rights risk to the children in care.
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Type B
05/09/2022
Section Cited
CCR
102352
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Definitions (h) (1) "Home" means the licensee's residence as defined by Government Code Section 244: (b) There can only be one residence. This requirement was not met as evidenced by: Licensee and Licensee’s husband both admitted to living at a different residence since September 2021, stating that it was hard to live where
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Per licensee, licensee moved back in to the daycare facility on 2/8/22. Pictures of licensee's room and bathroom were obtained.
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they worked and wanted to live somewhere separate. Licensee and licensee’s husband admitted to living at address: 131 Alder Ridge Lake Forest, 92610. Declarations were obtained. This poses a potential health, safety, and personal rights risk to the children in care.
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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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 7