<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700178
Report Date: 05/14/2024
Date Signed: 05/14/2024 04:18:28 PM

Document Has Been Signed on 05/14/2024 04:18 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/
DIRECTOR:		NECHAYEVA, MARINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 490-6605
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 5DATE:
05/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:10 PM
MET WITH:Anna BuiadzhyTIME VISIT/
INSPECTION COMPLETED:
04:30 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 05/14/2024 at 2:00PM, Licensing Program Analyst (LPA) Jaleesa Jackson met with Facility Representative Anna Buiadzhy for a Plan of Correction (POC) visit. Present during the inspection were 4 infants and 1 preschool aged child. Licensee Marina Nechayeva was not present at the home when LPA arrived. The Licensee arrived at the home at 2:50PM.

On 4/23/2024, LPA delivered findings for a complaint. The Family Child Care Home (FCCH) was cited 1 Type B citation for exceeding the about of time away from the home. The Licensee and LPA developed a Plan of Correction (POC) with submission due date of 05/7/2024. LPA had Licensee complete the overdue POC during today's visit. LPA generated a Letter of Deficiency Citations Cleared and provided a copy to the Licensee.

On 4/23/2024, LPA conducted a case management visit. The Family Child Care Home (FCCH) was cited 2 Type A citations for Infant Safe Sleep and for being out of ratio. The Licensee and LPA developed a Plan of Correction (POC) with submission due date of 04/24/2024. On 5/7/2024 visit the complete plan of correction was not received by LPA. Licensee was not home to correct the POC in person. LPA had Licensee complete the overdue POC during today's visit. LPA generated a Letter of Deficiency Citations Cleared and provided a copy to the Licensee.

On 5/7/2024, LPA conducted a POC visit. The FCCH was cited 1 Type A citation for being out of ratio for a second time. The submission due date was 5/8/2024. The plan of correction for the deficiency for 5/8/2024 has not been completed. Licensee and LPA came up with an alternative POC to clear the deficiency. LPA generated a Letter of Deficiency Citations Cleared and provided a copy to the Licensee.

There was 1 deficiency cited on today's visit. See 809-D for deficiency.

Continued on 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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 3
Document Has Been Signed on 05/14/2024 04:18 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 05/14/2024 at 03:39 PM
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: NECHAYEVA, MARINA
FACILITY NUMBER: 015700178

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/15/2024
Section Cited
CCR
102416.5(e)

1
2
3
4
5
6
7
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
This requirement is not met as evidenced by
1
2
3
4
5
6
7
Licensee submitted a signed statement saying she is going to adjust her schedule to be her in the home with her current roster of children until C1 turns 2 on 6/10/2024 ad that C2 will be picked up before her assistants leave for the day.
8
9
10
11
12
13
14
Based on observation and record review, the licensee did not comply with the section cited above by operating out of ratio which posed an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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:Jason Jang
LICENSING EVALUATOR NAME:Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:
DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/14/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NECHAYEVA, MARINA
FACILITY NUMBER: 015700178
VISIT DATE: 05/14/2024
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
26
27
28
29
30
31
32
LPA Jackson informed Facility Representative that this report dated 5/14/2024 document 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, LPA Jackson informed the Facility Representative that the licensee to provide a copy of this licensing report dated 5/14/2024 that documents any Type A citation 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.

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

Appeal rights have been provided.

Exit interview conducted and report was reviewed with the Licensee Marina Nechayeva.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3