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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700178
Report Date: 05/24/2022
Date Signed: 05/24/2022 12:36:38 PM

Document Has Been Signed on 05/24/2022 12:36 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:NECHAYEVA, MARINAFACILITY NUMBER:
015700178
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
05/24/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Marina Nechayeva TIME COMPLETED:
12:45 PM
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On 05/24/2022 at 11:00AM, Licensing Program Analyst (LPA) Kelly Phan met with licensee Marina Nechayeva for an unannounced CASE MANAGEMENT inspection for an INCREASE OF CAPACITY to a large family childcare home. Present for the inspection were licensee, licensee's 12 years old son, and 6 preschool aged children. Hours of operation is Monday to Friday, 8AM to 6PM. The home was toured with the licensee to conduct a health and safety inspection.

At 11:05AM, LPA toured the on-limits area of the home (bedroom #1 (for sleeping), bedroom #2 (across from bedroom #1), dining room, living room (main day care room), hallway bathroom, and fenced backyard. The OFF LIMIT areas are the garage, kitchen, outside shed, bedroom #3, bedroom #4 (master bedroom), and bathroom #2 (master bathroom). The home has an acceptable amount of space, number of toys and furnishings that are neat, clean and age appropriate. The home is equipped with a fully charged 3A40BC fire extinguisher, working dual smoke detector and carbon monoxide detector, and telephone. Per licensee there are no firearms on the premises. There are no pools, hot tubs, or other bodies of water at the home. At 11:44AM, LPA observed a bottle of Pine Sol cleaning solution inside the sliding cabinet door located in the dining area where children in care eat their meals. LPA informs licensee to move the cleaning solution to an inaccessible area or obtain child safety locks on the door so it cannot be open by the children. a Technical Violation was issued and explained to licensee that sliding doors would need to have locks on it to prevent any access. Licensee stated that she would move it into the garage, LPA observed it moved to the garage today. Licensee was also reminded to not have any toys or blankets inside the playpens.

Licensee has current CPR and First Aid training which expires on 02/12/2024, Mandated reporter training was completed on 11/22/2021. Licensee was reminded that CPR and First aid training and mandated reporter training would need to be renew every two years.
SEE LIC 809 C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2022
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: NECHAYEVA, MARINA
FACILITY NUMBER: 015700178
VISIT DATE: 05/24/2022
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The Department has received a fire clearance for the facility on 01/21/2022 from the Fremont Fire department. Per the fire clearance inspection, day-care is not permitted in the garage. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

This home is recommended for a large family home license as of 05/24/2022. There are no deficiencies cited. This report shall remain on file for 3 years. Exit interview conducted with Licensee and a copy of report and appeal rights were provided and notice of site visit given and must be posted for 30 days.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC809 (FAS) - (06/04)
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