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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494453
Report Date: 07/03/2024
Date Signed: 07/03/2024 03:31:22 PM

Document Has Been Signed on 07/03/2024 03:31 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:BARANOVA FAMILY CHILD CAREFACILITY NUMBER:
197494453
ADMINISTRATOR/
DIRECTOR:		BARANOVA, ALBINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 627-7391
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/03/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:SARAH BELLOUS, ASSISTANT TIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 07/03/2024, Licensing Program Analyst (LPA) Lisa Clayton made an unannounced visit to the Baranova Family Child Care Home to conduct the Annual Required inspection. This facility is approved to provide childcare services for children of military families. LPA was greeted by teacher Sarah Bellous. The licensee Albina Baranova arrived shortly after. LPA Clayton observed 6 children in care. Per Licensee the hours of operation are Monday through Friday, 8:30am – 5:00pm. Licensee provides snacks, water and juice.

LPA Clayton toured the home inside and outside for a Health and Safety inspection. The home has working telephone and LPA Clayton confirmed the number is (310) 627-7391.

LPA confirmed that this is a duplex with 1 bedroom, 1 bathroom, living/dining room, kitchen, and fenced side yard.

The ON LIMIT AREAS are as follows: living/dining room, kitchen, bathroom, and fenced side yard. The ISOLATION AREA will be in the living room.

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

Furniture and equipment are in good condition and free of sharp, loose, or pointed parts.

There are no pools, ponds or any other bodies of water on the premises. There are no firearms or ammunition on the premises.



The home has a fully charged 2A10BC fire extinguisher in the kitchen, working smoke detector /carbon monoxide detector combo in the living/dining room.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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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Document Has Been Signed on 07/03/2024 03:31 PM - It Cannot Be Edited


Created By: Lisa Clayton On 07/03/2024 at 02:45 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BARANOVA FAMILY CHILD CARE
FACILITY NUMBER: 197494453

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Clayton observation, the licensee did not comply with the section cited above as evidenced by the cabinet in the kitchen where which household cleaning products are stored has a broken child safety lock which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/05/2024
Plan of Correction
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Licensee will install a new lock on the cabinet door, making the cleaning products inaccessible to children in care.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Clayton record review the licensee did not comply with the section cited above as evidenced by staff admission the they do do not conduct disaster drills with the children, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2024
Plan of Correction
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Licensee will immediately bgen to conduct fire, earthquake and disaster drill with the chidren and staff and keep a log of the drills, and make the log available for review by the department.
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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 07/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/03/2024 03:31 PM - It Cannot Be Edited


Created By: Lisa Clayton On 07/03/2024 at 02:45 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BARANOVA FAMILY CHILD CARE
FACILITY NUMBER: 197494453

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(a)
Child's Records
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Clayton observation and record review, the licensee did not comply with the section cited above only 3 of the 6 children in care have a file on hand for review at the time of the inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2024
Plan of Correction
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Licensee will ensure that all children in care have a complete file on site, at the FCCH which will be available for review by the department as requested.
Type B
Section Cited
CCR
102417(b)


This requirement is not met as evidenced by: (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.
Deficient Practice Statement
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Based on LPA Clayton observation the licensee did not comply with the section cited above as evidenced by mouse dropping in the bathroom cabinet, and the kitchen and refridgerator needing to be cleaned which pose a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/08/2024
Plan of Correction
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Licensee will ensure the the home is neat and clean and free of debris and vermin and/or rodents. Licensee will provide LPA Clayton with an inspection report from a pest control inspection no later than Monday July 8, 2024.
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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 07/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2024


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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: 07/03/2024
NARRATIVE
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LPA Clayton reminded licensee of the importance of conducting fire, earthquake and disaster drill and keeping a log of the dates and times the drill were conducted, as required in Title 22 Regulations.

LPA Clayton reminded Licensee that the children are to remain at her address, at her FCCH when enrolled and in her care. LPA Clayton instructed Licensee to provide admission agreement for all enrolled children citing dates and hours of enrollment.

LPA reviewed 2 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, and signed Parent’s Rights.

Licensee and her assistant have current CPR/First Aid certificate and Mandated Reporter training.

LPA Clayton advised licensee to access 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 Clayton informed applicant of the importance of checking for recalled infant devices on the United States Consumer Products Safety Commission (CPSC) website at https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on the purchased equipment.


Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office upon completion. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

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

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
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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: 07/03/2024
NARRATIVE
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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 confirmed that there are no Registered Sex Offenders living in the home and LPA completed the RSO profile in FAS.

LPA Clayton reminded licensee that Detergents, cleaning compounds, medication and other hazardous items are made inaccessible to children in care.

During the exit interview, licensee told LPA Clayton that she currently does not live in the home.

Per Title 22 Regulations and Health and Safety Codes Deficiencies were cited today and Technical Violations issued (see LIC 809D, and LIC 9102).

An exit interview was conducted, a copy of this report was read and provided to licensee Albina and will 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: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
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