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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620137
Report Date: 08/26/2024
Date Signed: 08/26/2024 01:14:54 PM


Document Has Been Signed on 08/26/2024 01:14 PM - 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:KOROL, OLGAFACILITY NUMBER:
343620137
ADMINISTRATOR:KOROL, OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 677-6871
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: 10DATE:
08/26/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Olga KorolTIME COMPLETED:
01:25 PM
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On August 26th 2024, Licensing Program Analysts (LPAs) Soleil Marx and Loraine Perez met with Licensee, Olga Korol, for the purpose of conducting an unannounced plan of correction inspection. The purpose of todays inspection was explained. LPAs observed a census of 10 children in care being supervised by the licensee and one assistant.

Licensee was previously cited two Type A deficiencies on July 2nd, 2024 under California Code of Regulations (CCR) 102425(b) for noncompliance with safe sleep requirements and 102416.5(d)(2) for noncompliance with ratio/capacity requirements.

LPAs observed Licensee and the assistant were in compliance with safe sleep requirements by not allowing infants to have loose articles and objects in the portable play yard.

LPAs observed during today’s inspection that the licensee was in compliance with ratio/capacity requirements by having ten children in care with two staff.

During today's inspection, LPAs cleared both Type A deficiencies and provided Licensee with Deficiencies Cleared letter.

Exit interview conducted, report reviewed with licensee, Olga Korol, and notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Amanda BlesiTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Loraine PerezTELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2024
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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