343618039-1-17-2020-03-CC-KFEA-BKWTD7-20200117133752

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618039
Report Date: 01/17/2020
Date Signed: 01/17/2020 01:38:00 PM

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: 9	DATE:	01/17/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Lyudmila Ovsyannikova		TIME COMPLETED:	02:15 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 Analysts (LPAs) Kelly Ferrara and Tanya Washington met with the licensee Lyudmila Ovsyannikova for the purpose of a capacity increase of her Family Child Care Home from 8 to 14 children. Licensee has not yet received the required fire clearance from Sacramento County Building Department in order to operate at a maximum capacity of 14 children. Upon arrival, LPAs observed nine children in care with the Licensee and an assistant. Licensee was operating over capacity and ratio for a small family home. Off-limit areas include: Entire upstairs and garage. Licensee acknowledged that children may never enter these off-limit areas. LPAs observed a functioning smoke and carbon monoxide detector as well as a 2A10BC fire extinguisher. LPAs toured all areas of the home that are accessible to children. All individuals subject to criminal background review have obtained a criminal record clearance. Facility operates Monday- Sunday, 24 hours. Licensee understands that she is not allowed to provide care to the same child for over 24 hour period. LPAs observed that Licensee's CPR/First Aid certification will expire at the end of this month. Licensee showed LPAs an appointment to renew the certificate on January 25th, 2020. LPAs observed pool was fenced and gated according to regulations. Capacity increase is pending for a large family child care license. Once Fire Clearance has been received, LPAs will notify Licensee. Large license capacity is as follows: Maximum capacity (when there is an assistant present) of 12 children with no more than four infants OR a capacity of 14 children no more than three Infants; one child must be in Transitional Kindergarten/Elementary School and one child must be at least six years old. If there is not an assistant present, the facility must revert to a Small Family Child Care Home license requirements.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/17/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/21/2020 Section Cited	1 2 3 4 5 6 7	(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met as evidenced by: LPAs observed nine children present in a small family child care home. This is an immediate health and safety risk to children in care.
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

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: 01/17/2020

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This report was discussed with the Licensee and a Notice of Site visit was provided and posted. One Type A citation was issued based on today's inspection. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. The LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee (LIC 9224 was provided).

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

LIC809 (FAS) - (06/04)

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