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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494453
Report Date: 09/06/2023
Date Signed: 09/06/2023 11:37:55 AM

Document Has Been Signed on 09/06/2023 11:37 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BARANOVA FAMILY CHILD CAREFACILITY NUMBER:
197494453
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
09/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:ALBINA BARANOVA, LICENSEETIME COMPLETED:
12:00 PM
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On 09/06//2023, Licensing Program Analyst (LPA) Clayton made an unannounced visit to the Baranova Family Child Care home for the purpose of conducting a Case Management Inspection for Capacity Increase. LPA Clayton also conducted the Required 1year Inspection. LPA was greeted by Licensee Albina Baranova and 3 fingerprint cleared assistants. LPA observed 8 children being cared for and supervised appropriately. Capacity as specified on the license is being maintained. Hours of operation are Monday through Friday 8:30a.m. to 5:00 p.m. Licensee provides snacks and water.

LPA Clayton toured the home inside and outside for a Health and Safety inspection. The home is neat and clean with heating and ventilation for safety and comfort. The home has working telephone service and LPA confirmed the phone number is (310) 627-7391.

Current facility sketch was reviewed, and LPA confirmed that this is a duplex that includes the following: 1 bedroom, bathroom, living room/dining room, kitchen, fenced front and backyard.



The ON LIMIT AREAS are as follows:kitchen, living room/dining room (day care eating, napping and activity room) bathroom and the fenced front and back yard. The ISOLATION AREA will be in the day care activity room.

OFF-LIMIT AREAS are as follows: bedroom #1, which is inaccessible to children in care by closed and/or locked doors and visual supervision.

Outdoor play area is fenced and free from defects or dangerous conditions. There are ample age-appropriate toys that are safe, clean and in good repair. A certification for the play structure in the back yard was received by the El Segundo Regional Office in December 2022. As stated on the certification, Licensee is required to develop an inspection and maintenance program for the play area and maintain detailed records of inspections and repair records to assure continued compliance. The play area should be inspected frequently for missing or damaged equipment, broken glass and foreign objects in the play area, and maintenance of fall surface is a priority. The play area should also be thoroughly inspected on a regular basis by trained personnel for wear to moving parts and other components that can be expected to wear.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BARANOVA FAMILY CHILD CARE
FACILITY NUMBER: 197494453
VISIT DATE: 09/06/2023
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LPA Clayton observed a fully charged 2A10BC Fire extinguisher in the daycare activity room, a working carbon monoxide/smoke detector combo. A Pull Fire Alarm is installed and a Fire Clearance was granted on January 11, 2023, by the LA City Fire Department Institutions Unit.

Licensee ensures that children in care are supervised at all times and is aware that children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

There are no pools, ponds, spas, or other bodies of water on the premises. There are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible to children in care.

LPA reviewed 5 children’s files and observed them to be in compliance as they contained current contact information for authorized representatives and/or relatives who can assume responsibility for the child, immunization records, and authorization for medical treatment.

Licensee’s and staff's Mandated Reporter Training and Pediatric CPR/First Aid are current. LPA Clayton reminded Licensee that the above-mentioned certifications are to be renewed every 2 years, per Health and Safety Codes and Title 22 Regulations for Child Care.


LPA discussed Safe Sleep Regulations with licensee. Licensee stated that she does care for infants (all enrolled children are 2 years and older). LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and­resources/safesleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Safety Product Commission (CPSC) website https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BARANOVA FAMILY CHILD CARE
FACILITY NUMBER: 197494453
VISIT DATE: 09/06/2023
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LPA reminded Licensee of the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of 100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&R) throughout California.

During the exit interview, licensee Albina Baranova confirmed that there are no Registered Sex Offenders living in the home and LPA completed the RSO profile in FAS.



To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiencies were cited today, per Title 22 Regulations and Health and Safety Codes.

The home is approved for a Capacity Increase on today September 6, 2023.

An exit interview was conducted, a copy of this report was read and provided to the Licensee. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC809 (FAS) - (06/04)
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