<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617976
Report Date: 03/25/2022
Date Signed: 03/28/2022 04:05:36 PM


Document Has Been Signed on 03/28/2022 04:05 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:KHRISTUCHENKO, LYUDMILAFACILITY NUMBER:
343617976
ADMINISTRATOR:KHRISTUCHENKO, LYUDMILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 367-2191
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:14CENSUS: 0DATE:
03/25/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lyudmila KhristuchenkoTIME COMPLETED:
11:20 AM
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 March 25, 2022 at 10:00 AM, Licensing Program Analysts (LPAs) Tanya Washington, Lea Habtom and Licensing Program Manager (LPM) Roxana Saravia contacted Licensee, Lyudmila Khristuchenko for a scheduled informal meeting which is being conducted via Zoom Meetings. Also present during the informal meeting is Licensee's adult daughter Alina.

LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help provider gain compliance.

The purpose of today's meeting is to discuss an attempted annual inspection which occurred on 03/02/2022. Licensee was present in the home providing care to children. Upon LPAs arrival, Licensee did not allow LPAs Washington and Habtom to inspect the facility stating it was nap time and due to COVID restrictions LPAs did not have the right to inspect her facility. Licensee also stated that LPAs will scare the children if they enter her home. After Licensing staff explained inspection authority to Licensee, she still denied entry to the home.

During today's meeting Licensee stated that going forward she understands that licensing staff has the right to enter her facility anytime during her operating hours when children are present. Licensee understands that she will not receive advance notice regarding the inspection and shall comply with inspection authority.

This report is being sent to Licensee Khristuchenko for review via e-mail on file. Licensee agrees to respond to the email once the report is received and reviewed.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1