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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700153
Report Date: 12/13/2023
Date Signed: 12/15/2023 08:53:59 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2023 and conducted by Evaluator Lisa Clayton
COMPLAINT CONTROL NUMBER: 58-CC-20230921095743
FACILITY NAME:PASECHNIKOVA FAMILY CHILDCAREFACILITY NUMBER:
195700153
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/13/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:SVETLANA PASECHNIKOVA, LICENSEETIME COMPLETED:
11:30 AM
ALLEGATION(S):
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UNLICENSED CARE
INVESTIGATION FINDINGS:
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On 12/13/2023, LPA Clayton conducted an unannounced visit to deliver the findings on the above allegations. LPA was greeted by Licensee Svetlana Pasechnikova. LPA toured the FCCH inside and outside for Health & Safety inspection. LPA Clayton observed 6 children being supervised and cared for appropriately by Licensee and a fingerprint-cleared assistant.

LPA conducted the initial inspection on 09/21/2023. On 11/03/2023, an Informal Conference was conducted with Svetlana Pasechnikova, LPA Clayton and LPM Starks.

Based on LPA’s observation of children in care on 09/21/2023, the above allegation was substantiated and Health and Safety code 1596.80 is cited (see LIC 9099D). Notice of Operation in Violation of the Law (NOV) LIC 195 was provided on 09/21/2023.

Exit interview conducted, and report was reviewed with Svetlana Pasechnikova. A Notice of Site Visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 58-CC-20230921095743
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PASECHNIKOVA FAMILY CHILDCARE
FACILITY NUMBER: 195700153
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/21/2023
Section Cited
HSC
1596.80
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1596.80 Child day care facilities, licenses No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefor as provided in this act. This requirement was not met as evidenced by:
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On 09/21/2023, all parents were contacted to pick-up children from facility. On 11/03/2023, applicant attended a Informal Conference with LPM Starks and LPA Clayton via Teams. Application for FCCH was approved.
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On 09/21/2023, LPA observed 5 children in care, being supervised by provider/applicant. Provider acknowledged that she was aware that she is not licensed to care for the children as her application was pending. This poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2