343618039-6-7-2019-03-CC-KFEA-BCWSHH-20190607135335

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618039
Report Date: 06/07/2019
Date Signed: 06/07/2019 01:53:41 PM

COMPREHENSIVE INSPECTION

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:	OVSYANNIKOVA, LYUDMILA		FACILITY NUMBER:	343618039
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	06/07/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Lyudmila Ovsyannikova, Licensee		TIME COMPLETED:	02:30 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	Licensing Program Analyst (LPA) Kelly Ferrara met with Licensee Lyudmila Ovsyannikova for an unannounced random annual inspection of her small family child care home. All adults in the home have obtained a criminal record clearance. Hours of operation are Monday through Friday, with the option of staying for 23 hours in care. There were five children present at the time of inspection, one of them was under the age of two. Licensee stated that she was interested in changing to a large capacity and LPA advised her of the requirements. A health and safety inspection was conducted in all areas accessible to children. Off limit areas include: Entire upstairs and garage. LPA observed a working phone, 2A10BC fire extinguisher, screened fireplace, first aid kit, and functioning smoke and carbon monoxide detectors that meet regulations. LPA observed a fire drill log with the last drill completed in January 2019 and LPA advised that it must be completed in July to remain in compliance. LPA observed a current children's roster, emergency disaster plan, parent's rights poster, and her license were posted. Knives, medications, and chemicals were all stored inaccessible to children. There is a pool in the backyard that is in compliance. Licensee stated there are no firearms present. All children's files were reviewed and all of them contained the required licensing documents and immunization records. Licensee was able to provide proof of her immunizations and a current CPR/First Aid certificate was observed that expires in March 2021. Licensee stated she has not completed the Mandated Reporter training, however English is her second language and is not required at this time. Licensee stated that she will complete it with the help of her daughter as a translator. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: OVSYANNIKOVA, LYUDMILA	FACILITY NUMBER: 343618039
	VISIT DATE: 06/07/2019

NARRATIVE

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The facility evaluation report was reviewed and discussed with the Licensee. Notice of site visit was provided and it must remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of 3 years for public review upon request. Safe sleep information was given to the Licensee.

No deficiencies were cited based on today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

LIC809 (FAS) - (06/04)

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