343618099-3-5-2025-03-CC-TWAN-DEFPX5-20250304104146

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618099
Report Date: 03/04/2025
Date Signed: 03/05/2025 10:08:33 AM

Document Has Been Signed on 03/05/2025 10:08 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	PASHKOVETS, LYUBOV		FACILITY NUMBER:	343618099
ADMINISTRATOR/ DIRECTOR:	PASHKOVETS, LYUBOV		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 225-8377
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95841
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 21	CENSUS: 4	DATE:	03/04/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:45 AM
MET WITH:	Lyubov Pashkovets		TIME VISIT/ INSPECTION COMPLETED:	10:45 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 Tuesday, March 4, 2025 at 8:30 AM, Licensing Program Analyst (LPA) Tanya Washington met with Licensee, Lyubov Pashkovets, for the purpose of an unannounced annual/random inspection. The inspection is conducted in Russian language. Upon arrival LPA observed Licensee and her husband Mikhail, providing care and supervision to four preschool aged children. All individuals subject to criminal background review have obtained a criminal record clearance. Facility hours of operation are seven days a week, 24 hours a day. Licensee understands that she may not provide care to the same child for more than 24 hours. A health and safety evaluation was conducted in all areas accessible to children. Off-limit areas include: Licensee's daughters bedroom and garage. The facility is currently under partial remodel in the process of adding an additional restroom which will be connected to a bedroom accessible to children. The bedroom is inaccessible to children during the remodel and the Licensee will notify LPA once the room is ready for use. The Licensee has informed LPA of the remodel prior to making changes. LPA observed that the facility is clean, safe and sanitary. LPA observed a functioning smoke detector, carbon monoxide detector, and a full 2A10BC fire extinguisher. The facility has adequate toys that appear to be safe for children to use. The licensee stated there are no weapons or poisons in the home. There is no fireplace on the premises. There are no bodies of water on the premises. LPA reviewed six children’s files which were observed to be complete. Required postings and the children’s roster were observed. LPA observed that the last fire drill was documented October 15, 2024. Licensee’s CPR and First Aid certificate is valid until 10/2025. Licensee, spouse and adult daughter have a current Mandated Reporter Training, the course was taken through Child Action agency. Licensee stated that she does provide care to an infant in the evenings for short periods and this infant does not nap. LPA did not review any infant safe sleep logs. *PAGE 1. REPORT CONTINUES ON LIC809-C*

Amanda Blesi	TELEPHONE: (916) 208-3427
Tanya Washington	TELEPHONE: 916-879-1209
	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: PASHKOVETS, LYUBOV	FACILITY NUMBER: 343618099
	VISIT DATE: 03/04/2025

NARRATIVE

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LPA verified that the annual fees are current. Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee understands that licenses are not transferable, and once licensed, licensee must live in the home and be present for 80% of the day. Licensee understands that if an unusual incident occurs; licensing is to be notified via phone call, e-mail or fax within 24 hours and the Unusual Incident Report/LIC 624 shall be submitted within 7 days to remain in compliance. Licensee understands that if any structural changes are made to the home; licensing must be notified PRIOR to construction. Licensee understands that if she wants to make any changes to OFF-limit areas to an ON-limit area, she must notify licensing and LPA must do an inspection BEFORE children are allowed in said area. Licensee understands that children’s records are to be maintained according to Title 22 regulations and be accessible to licensing for up to 3 years.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Page 2. REPORT CONTINUES ON LIC809C

SUPERVISOR'S NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: PASHKOVETS, LYUBOV	FACILITY NUMBER: 343618099
	VISIT DATE: 03/04/2025

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days. No Title 22 deficiencies are cited based on today's inspection. Exit interview conducted and report was reviewed with the licensee Lyubov Pashkovets. During the exit interview, the Licensee Lyubov Pashkovets, confirmed that there are no Registered Sex Offenders living in the facility.

SUPERVISOR'S NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR NAME: Tanya Washington	TELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC809 (FAS) - (06/04)

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