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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700178
Report Date: 10/16/2023
Date Signed: 10/16/2023 04:19:34 PM

Document Has Been Signed on 10/16/2023 04:19 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NECHAYEVA, MARINAFACILITY NUMBER:
015700178
ADMINISTRATOR:NECHAYEVA, MARINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 490-6605
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
10/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Marina NechayevaTIME COMPLETED:
04:30 PM
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On 10/16/2023 at 1:55PM Licensing Program Analyst (LPA) Jaleesa Jackson arrived at for an Unannounced Plan of Correction (POC) visit for a follow up on previously cited deficiencies and met with Licensee Marina Nechayeva. LPA informed Licensee of the nature of the visit and entry was granted. Present for this inspection was the Licensee, one fingerprint cleared assistant, four (4) infants, and 6 preschool age children. LPA performed a physical inspection of the facility to verify the POC was cleared and the facility remained in compliance following LPA's 10/06/2023 inspection visit.

LPA observed that all baby walkers were not present in daycare. All adults present for today's visit have fingerprint clearance. Licensee stated that she has not given parents the Acknowledgement of Receipt of Licensing Report (LIC9224) from the 10/06/2023 visit yet. LPA let Licensee know that LIC9224 and Report from 10/06/2023 with the Type A deficiency must be given to parents by the end of the week to complete and return. Any parent of a children absent must be given the LIC9224 and Report from 10/06/2023 with Type A the following the day they return in care. All LIC9224 will be placed in children's files for review for another visit.

No deficiencies were cited on today's visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with licensee Marina Nechayeva and appeal rights were given. A copy of POC letters were issued.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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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