343618039-7-21-2020-03-CC-TWAN-BRQRPW-20200721131237

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618039
Report Date: 07/21/2020
Date Signed: 07/21/2020 01:12:48 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: 5	DATE:	07/21/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	Lyudmila Ovsyannikova		TIME COMPLETED:	10:40 AM

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On Tuesday, July 21, 2020 at approximately 9:00 AM Licensing Program Analyst (LPA) Tanya Washington contacted Licensee Lyudmila Ovsyannikova for the purpose of an announced pre-licensing/increase of capacity tele-inspection. Licensee had recently submitted an application for an increase in capacity from 8 to 14 children. Due to COVID-19 pandemic LPA is conducting the meeting via FaceTime. Licensee operates 7 days a week from 7:00 AM to 11:00 PM. Present during the tele-inspection LPA observed five children in care of Licensee and her adult daughter Olga.

A health and safety inspection was conducted inside and out. This facility is a two story home which consists of 4 bedrooms and two bathrooms (located upstairs). Downstairs area consists of living room, dining room, family room, laundry room, play room (partially converted garage), small storage area (part of the garage), kitchen, front and backyard. The off-limit areas in the home will consist of: entire second floor and the front of the garage which is used as storage. Stairs leading to the second floor are properly barricaded. Fire extinguisher, smoke and carbon monoxide detectors meet regulation. Sharp knives, toxins and cleaning supplies are inaccessible to the children. Toys appear to be safe and appropriate for children in care. Licensee stated that there are no weapons. LPA observed an in-ground pool surrounded by an iron fence which is at least 5 feet in height. The gate to the pool is self closing and self latching, Licensee demonstrated over FaceTime that the gate self closes and self latches. The facility currently does not provide Incidental Medical Services – IMS. LPA discussed IMS services and the requirement to create a plan of operation. Specifics on the plan can be found in the family childcare home evaluator manual (FCCH EM) Policy 102417.

Adult residents and assistants have criminal record clearances. No additional adults have moved into the home since licensure. Licensee's CPR and First Aid certification is valid until 01/2022. LPA reviewed large family childcare home capacity limitations with licensee. LPA discussed SB 277 and SB 792 pertaining to immunization requirement for children and staff and advised Licensee to visit the licensing website at www.ccld.ca.gov for current forms, laws, regulations and legislation.

Report continued on subsequent page LIC809C----

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2020

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
	VISIT DATE: 07/21/2020

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The Department received Fire Safety Inspection Clearance on 07/01/2020, and home has been cleared for up to 14 children.

Licensee indicated that they are practicing social distancing by separating the children's play areas as far apart as possible and ensuring that children wash their hands frequently.

As of 07/21/2020, facility is licensed to serve 12 children (when there is an assistant present) with no more than 4 infants, or capacity of 14 children when 1 child is enrolled in Transitional Kindergarten or elementary school and 1 child at least age 6 with a maximum of 3 infants.

In lieu of Licensee's signature, LPA is e-mailing the report with a read receipt request to Licensee. Notice of Site Visit was email to Licensee. Notice of Site Visit should be posted in a conspicuous area for 30 days.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2020

LIC809 (FAS) - (06/04)

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