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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408984
Report Date: 10/21/2021
Date Signed: 10/21/2021 01:58:08 PM

Document Has Been Signed on 10/21/2021 01:58 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:KUNIN, OLENAFACILITY NUMBER:
073408984
ADMINISTRATOR:KUNIN, OLENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 922-9644
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
10/21/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Olena KuninTIME COMPLETED:
02:00 PM
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On 10/21/21 at 12:30pm, Licensing Program Manager (LPM) Loretta Dyson arrived at the home for an unannounced case management inspection. LPM met with Olena Kunin. There were 2 infants and 5 preschoolers present. The licensee's husband was also present.

This is a follow up inspection to the required inspection that was completed at this home on 10/19/21. During the inspection today, LPM discussed the requirements for the pool to be made inaccessible by a pool cover or by surrounding the pool with a fence. The licensee was advised that although the home was licensed with the pool being made inaccessible by a fence dividing the yard, we have to now ensure that the home meets all requirements to be licensed for a family child care home. The licensee was advised that she will not be able to operate until the pool meets the requirement, so she will need to temporarily close her child care. LPM advised that the pool cover or fence surrounding the pool will need to be inspected and approved prior to children returning to care.

There are no deficiencies being cited today. This report will remain on file for 3 years. A Notice of Site Visit was provided and must remain posted for 30 days. An exit interview was conducted and appeal rights were provided.
SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2021
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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