013423558-1-26-2023-02-CC-MMAR-CNFRPJ-20230126121201

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423558
Report Date: 01/26/2023
Date Signed: 01/26/2023 12:12:13 PM

Document Has Been Signed on 01/26/2023 12:12 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	OIKNINE, YASMINE		FACILITY NUMBER:	013423558
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 4	DATE:	01/26/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Yasmine Oiknine		TIME COMPLETED:	12:30 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 1/26/23 at 9:30 am Licensing Program Analyst (LPA) Monica Mathur conducted an Unannounced Case Management inspection at Yasmine Oiknine's family home. Licensee has applied for CAPACITY INCREASE from 8 to 14 children. LPA met with Licensee, Yasmine and explained purpose of inspection. Present in the home were Licensee, adult Assistant (Licensee's daughter) and 4 infants. Facility is in ratio compliance today. Fire clearance was granted on 1/11/23 and Licensee has met all Fire Department requirements. All Licensing documents and requirements are complete. Licensee understands that once application is approved, parents have to be notified and Parent Notification for Additional Children In Care LIC9150 has to be maintained in child files. Licensee's daughter and 1 other assistant will be the additional helpers in the home. LPA explained the capacity and limitations of a Large Family Childcare Home. Licensee understands the ratio requirements of large home. LPA inspected all areas of the home inside and outside. Home is located on a hillside and entrance to day care is through left side yard gate, down several steps at the lowest level of home IN USE: (Lower Level) Family room, Kitchen, Bathroom, Bedroom, Wooden outdoor patio OFF LIMIT: Rest of the outdoor yard outside fenced wood patio (Upper Level) Private residence on street level continued on Page 809-C

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OIKNINE, YASMINE	FACILITY NUMBER: 013423558
	VISIT DATE: 01/26/2023

NARRATIVE

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During inspection of Assistant files, it was determined that an Assistant IRMA RAMIREZ who has been working in the facility since April 2022 does not have criminal record clearances. IRMA was not present at the facility today. IRMA completed her Live Scan in April 2022 but is still showing in-process. She is not associated to any other licensed child care facility at present. Since she has been working in Yasmine's day care providing supervision and care to children without clearances, this posed/poses an immediate risk to health and safety of children in care. Licensee understands IRMA cannot be present in the facility until she gets clearance. Licensee shall ensure IRMA is cleared and associated to license before presence in the facility. Licensee states she assumed clearance after receiving DOJ Letter. Licensee states she is unaware of CPMB Guardian system and does not have an provider account. LPA provided Guardian information.

Type A deficiency is cited on page 809-D. LPA informed Licensee, Yasmine Oiknine that this report dated 1/26/23 with 1 Type A citation which shall be POSTED for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, to PROVIDE a copy of this licensing report dated 1/26/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Due to citation today, CAPACITY INCREASE APPLICATION will be reviewed with CCLD Management. Application is put on hold today until facility is back in compliance with Licensing regulations and approved by management. Report was reviewed and exit interview conducted with Licensee Yasmine Oiknine. NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED FOR 30 DAYS

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/26/2023 12:12 PM - It Cannot Be Edited

Created By: Monica Mathur On 01/26/2023 at 11:35 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OIKNINE, YASMINE	FACILITY NUMBER: 013423558
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/26/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/27/2023 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370 Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	By POC Due Date 1/27/23 Licensee agreed to send written statement on plan how facility will be back in compliance with Criminal Record Clearance regulations and steps moving forward.
	8 9 10 11 12 13 14	Per file review Assistant IRMA RAMIREZ has been working since April 2022 providing care, does not have clearances. Her clearance is still in-process and is not associated to any other licensed child care. This poses an immediate risk to safety of children.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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:

Sherelle Johnson

LICENSING EVALUATOR NAME:

Monica Mathur

LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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