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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423402
Report Date: 12/19/2024
Date Signed: 12/19/2024 11:17:47 AM

Document Has Been Signed on 12/19/2024 11:17 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LOKTEVA, OXANAFACILITY NUMBER:
013423402
ADMINISTRATOR/
DIRECTOR:		LOKTEVA, OXANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 283-1914
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
12/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Licensee, Oxana LoktevaTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Jyoti Saini conducted an unannounced Annual Random Inspection with Licensee Oxana Lokteva. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Present during the inspection were the Licensee and a helper, supervising six (6) preschoolers. The home is a single-story home with three bedrooms, two bathrooms, a living room, kitchen, dining room, garage, and backyard. The hours of operation are from 8:00 AM to 6:00 PM, Monday through Friday. The facility has liability insurance through Markel Insurance.On-Limit Areas: Living room (main play area), dining room, master bedroom (nap room), the bathroom located at the end of the hallway, and the backyard.
Off-Limit Areas: Kitchen, Bedrooms #1 and #2 (on the right-hand side of the hallway), the bathroom located inside the master bedroom, and the garage. These off-limit areas are made inaccessible to children through locked doors, safety gates, and visual supervision. The daycare area is clean, orderly, and equipped with age-appropriate toys. The home has a working telephone, a functional smoke and carbon monoxide detector, and a fire extinguisher that meets the minimum requirements. During the inspection, LPA did not observe any bodies of water. The fireplace in the living room is screened to prevent access by children. The licensee confirmed that no firearms are stored on the premises. There are child-sized tables and chairs available for snacks and activities. Each child has an assigned bed, and according to the provider, the blankets and sheets are washed weekly. The backyard serves as the designated outdoor play area, equipped with tricycles, a playhouse, a trampoline, a swing set, a caterpillar play structure, picnic tables, and many other age-appropriate equipment. The licensee mentioned that only two children are allowed on the trampoline at a time. LPA advised the licensee to comply with the manufacturer's instructions for the trampoline, including any supervision requirements, if daycare children use it. LPA inspected the swing set in the play yard, which is securely anchored. The licensee and helper both have current Mandated Reporter certificates on file. The licensee provides daily snacks and meals to the children. LPA reviewed the children's files, which are complete and up to date. All required postings are properly posted.The log indicates that the last Emergency Drill was conducted in October 2024. The licensee provides care only to children aged 2 years and older. LPA discussed safe sleep guidelines with the licensee if the licensee decides to provide care for infants in the future and referred the licensee to check the department's website for updated safe sleep guidelines.

see next page..

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LOKTEVA, OXANA
FACILITY NUMBER: 013423402
VISIT DATE: 12/19/2024
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During Inspection, Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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 was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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 deficiency cited today.

Exit interview conducted and report was reviewed with the licensee Oxana Lokteva.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC809 (FAS) - (06/04)
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