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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617976
Report Date: 03/02/2022
Date Signed: 03/02/2022 02:12:20 PM


Document Has Been Signed on 03/02/2022 02:12 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: 3DATE:
03/02/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lyudmila KhristuchenkoTIME COMPLETED:
02:00 PM
NARRATIVE
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On Wednesday, March 2, 2022 at 1:00 PM, LPAs Washington and Habtom met with Licensee, Lyudmila Khristuchenko for a required annual 1 year inspection. Licensee denied entry to LPAs and stated that she was getting ready to put children down for a nap and also LPAs did not have the authority to inspect her home due to COVID restrictions. LPA advised Licensee that under inspection authority, LPAs had the right to come in and inspect the home at anytime while day-care children are in care. LPA explained that we would quietly enter the home and wait for the Licensee to put children down while starting the report. LPA explained to Licensee that in-person inspections have been granted since June of 2021.

Licensee was provided inspection authority regulations and a copy of this report was printed for the Licensee.

Civil penalty in the amount of $500.00 is assessed for impeding inspection authority of the department.

See LIC809D for the deficiency cited. Appeal rights were provided.

This is a Type A deficiency, hence AB633 Notification Applies: Upon receipt of this report, the report must be posted along with the notice of site visit for 30 days for parents to view. Licensee must inform the parents/guardians of children in care at the facility and to the parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC 9224.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:
DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/02/2022
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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Document Has Been Signed on 03/02/2022 02:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833


FACILITY NAME: KHRISTUCHENKO, LYUDMILA
FACILITY NUMBER: 343617976

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
03/03/2022
Section Cited

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The licensee shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child
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care laws or regulations. The Department shall exercise this authority * as specified in Health and Safety Code Section 1596.8535(a). This requirement is not met as evidenced: Licensee denied inspection authority. This poses and immidiate risk to the health and safety of children in care. Civil penalty in the amount of $500.00 is assessed.
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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: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:
DATE: 03/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/02/2022
LIC809 (FAS) - (06/04)
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