343618480-10-4-2023-03-CC-ASUR-CWAPZG-20231004114531

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618480
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:45:36 AM

Document Has Been Signed on 10/04/2023 11:45 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:	FILEV, IRINA & VLADIMIR		FACILITY NUMBER:	343618480
ADMINISTRATOR:	FILEV, IRINA & VLADIMIR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 873-7077
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95842
CAPACITY:	14	CENSUS: 0	DATE:	10/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Irina Filev		TIME COMPLETED:	12:00 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	On Wednesday, October 4, 2023, Licensing Program Analyst (LPA) Amanda Sutter met with Licensee, Irina Filev, for the purpose of an unannounced annual inspection. There were no children at the facility upon arrival. All individuals subject to criminal background review have obtained a criminal record clearance. Licensee stated that she has not watched any daycare children since June 7, 2023. Her home is currently being renovated and she is not operating. Licensee provided LPA with a signed LIC9211, Request for Inactive Child Care Status. LPA will return to place facility back on active status once the renovation has been completed. Off-limit areas include: entire upstairs, garage, and laundry room. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a functioning smoke detector and carbon monoxide detector. The licensee stated there are no weapons or poisons in the home. LPA observed a fireplace and stairs to be barricaded according to regulation. LPA observed a pool fully enclosed by a fence with a self-latching gate that swings away from the pool. The backyard is fenced. LPA reviewed children’s files which were observed to be complete. Required postings and the children’s roster were observed. LPA observed 15-minute observation checks for napping infants. The facility has record of conducting fire drills at least every 6 months. The last fire drill was conducted 5/31/2023. Licensee’s CPR/First Aid card expired 9/2023. Licensee stated she is scheduled for a CPR course 10/5/2023. Licensee understands that trainings must be completed every two years. 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. *PAGE 1. REPORT CONTINUES ON LIC809-C*

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

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: FILEV, IRINA & VLADIMIR	FACILITY NUMBER: 343618480
	VISIT DATE: 10/04/2023

NARRATIVE

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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 [or facility representative] 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.

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/.

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. Based on the inspection, no citations has been issued. Exit interview conducted and report was reviewed with the licensee Irina Filev. During the exit interview, the Licensee Irina Filev, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Amanda Sutter	TELEPHONE: (916) 261-8918
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

LIC809 (FAS) - (06/04)

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