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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343618883
Report Date: 07/18/2019
Date Signed: 07/18/2019 04:03:45 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:SOLENAYA, SVETLANAFACILITY NUMBER:
343618883
ADMINISTRATOR:SOLENAYA, SVETLANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 833-4095
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:14CENSUS: 5DATE:
07/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Svetlana SolenayaTIME COMPLETED:
04:20 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Joleen Kenney and Tanya Washington met with Licensee, Svetlana Solenaya for the purpose of an unannounced annual/random inspection. Upon arrival, LPAs observed 4 napping day-care children in the playroom, Licensee's grandchild, two minor children and the Licensee's spouse who was working in the front yard. LPA requested information to verify residency of the spouse to confirm that the Licensee's spouse is not residing in the home as stated by the Licensee. This information is requested to determine if the Licensee's spouse requires a criminal record clearance.
Facility operates Monday- Friday from 7:00 AM to 7:00 PM. LPAs toured the entire home inside and out including the off limit areas of the home. Main area for care is the office and the playroom with an attached bathroom which is located in the fully converted garage.

Off-limits areas currently include three bedrooms in the hallway, master bathroom, hallway bathroom and outdoor storage shed located in the backyard. During today's inspection Licensee requested to make her backyard off limits. Licensee was reminded to lock the poisons even in the off limit areas of the home. LPAs observed a working phone, 2A10BC fire extinguisher, and functioning smoke detector. LPAs also observed a functioning carbon monoxide detector which was chirping during the inspection LPAs advised Licensee to replace the device. Licensee stated there are no weapons in the home. There are no accessible bodies of water on the premises. LPAs observed medications accessible in the living room area located on an end table near the couch in the living room area, LPAs also observed a weed and grass killer near the sliding back door in the backyard area. LPAs also observed exposed cleaning chemicals under the kitchen sink that was missing the cabinet doors. LPA Kenney took photos of the items that were hazardous. Safe toys and comfortable accommodations were observed. Outdoor play space is fenced.

Children's records were reviewed, LPAs provided the Licensee with updated licensing forms such as LIC700, LIC627 and LIC995A. Current pediatric CPR and first aid certification was verified for Licensee (exp. date 03/2020). LPAs were unable to verify Licensee's required vaccine record (MMR and TDAP).
Report continues on 809-C.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: SOLENAYA, SVETLANA
FACILITY NUMBER: 343618883
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2019
Section Cited
CCR
102417(g)(4)
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Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced; LPAs observed accessible medication, weed/grass killer, cleaning chemicals under the kitchen sink. This is an immediate risk to the health and safety of children in care.
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Licensee stated that she will ensure to relocate all of the items by POC date of 07/19/2019.

LPA will conduct an unannounced inspection to verify compliance that hazardous items are inaccessible to children and/or locked.
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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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: SOLENAYA, SVETLANA
FACILITY NUMBER: 343618883
VISIT DATE: 07/18/2019
NARRATIVE
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LPAs verified that the annual Licensing fees are current.

This provider is currently not providing IMS services to children in care. 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

This facility evaluation report was reviewed and discussed with the licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CDSS.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 three years for public review upon request. The licensee's signature on this form acknowledges receipt of this report. Appeal rights were provided and discussed.



The following Type A and Type B citations were cited on the subsequent pages of this report. Please refer to LIC809D deficiency pages for the citations.

Upon receipt, Licensee shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/ guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC 9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SOLENAYA, SVETLANA
FACILITY NUMBER: 343618883
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/19/2019
Section Cited
HSC
1597.622(a)(1)
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(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced, Licensee was unable to locate her medical record during the inspection. This is potential health and safety risk to children in care.
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Licensee stated that she will locate her shot record and submit to LPA Kenney within 30 days by plan of correction date of 08/19/2019.

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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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4