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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494745
Report Date: 02/04/2025
Date Signed: 02/05/2025 09:26:09 AM

Document Has Been Signed on 02/05/2025 09:26 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:GETMANCHOUK FAMILY CHILD CAREFACILITY NUMBER:
197494745
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
02/04/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Susan Rose, Teacher/EmployeeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 02/24/2025 Licensing Program Analysts (LPA) Judy Laureano conducted an unannounced case management inspection for the purpose of ensuring the facility is meeting all Tittle 22 regulations and CA Health and Safety codes.

LPA knocked on the home’s front gate and did not get any response. At approximately 11:01 LPA observed an individual walk to the front yard of the home carrying a child. LPA proceeded to walk around the home in attempts to gain access.

LPA was greeted by Staff 1 who stated that she is a teacher and the director of the facility is staff 3. LPA toured the facility both indoors and outdoors and observed 6 children withStaff 1 and Staff 2 providing care and supervision.

Staff 1 stated that the director of the facility Staff 3 and owner of the facility is Staff 4. LPA attempted to contact Licensee, left multiple messages requesting a call back. Staff 1 stated, per staff 4, Licensee is currently at the bank.

Per Staff 1, day care space is the living room area and nap area is located next to the living room area. Bathroom that children use is located behind the wooden sliding door. LPA inspected and observed the bathroom. Per Staff 1, children enrolled are not potty trained.

Based on documents reviewed with Staff 1 and observation, home had a total 5 infants and one 2 year old present during today's inspection 02/04/2025. Staff 1 verified dates of birth of all children present today via on line roster. LPA requested for roster to be emailed by the end of the inspection which was received.

Staff 1 was informed that she must come into capacity during the course of this case management visit. At approximately 1:41 p.m home was at license capacity.

Per Title 22, Division 12, Chapter 1 regulations, for a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following, six children, no more than three of whom may be infants.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GETMANCHOUK FAMILY CHILD CARE
FACILITY NUMBER: 197494745
VISIT DATE: 02/04/2025
NARRATIVE
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LPA Laureano reviewed Guardian roster for home and S1 confirmed that she has been working in the home since January 2025 and S1 does not have fingerprints associated to the facility. Type A citations was issued, and a civil penalty was assessed.

2 deficiencies cited during today’s visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.


LPA Laureano informed facility representative that this report dated 2/4/2025 documents 2 Type A citations which shall be posted for 30 consecutive days as there are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Laureano informed facility representative to provide a copy of this licensing report dated 2/4/2025 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.


Copy of this report was reviewed with facility representative Susan Rose and a Notice of site Visit was provided with Appeal Right.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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Document Has Been Signed on 02/05/2025 09:26 AM - It Cannot Be Edited


Created By: Judy Laureano On 02/04/2025 at 12:02 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: GETMANCHOUK FAMILY CHILD CARE
FACILITY NUMBER: 197494745

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/04/2025
Section Cited
CCR
102416.5(b)(2)

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102416.5 Staffing Ratio and Capacity
(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time,...Six children, no more than three of whom may be infants;
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Facility representative was informed that she must come into capacity during the course of this case managment visit.
LPA is requesting for proof of corrections of disenrolling 2 infants
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This requirement is not met as evidenced by:based on documents reviewed and observeation, 5 infants present during today's inspection,
02/04/2025.
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Proof will be email to LPA by 02/5/2025.
Type A
02/11/2025
Section Cited
CCR102370(a)

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102370-Criminal Record Clearance (a) Prior to the Department issuing a license, the applicant(s) and all adults residing in the home shall obtain a California criminal record clearance or exemption.
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Facility representative agrees to submit proof of clear fingerprint clearance and ensure individual S1 is associated to the license. Proof will be email to LPA by 02/5/2025.
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This requirement is not met as evidenced by: Based on LPA's interview and documents review, S1 does not have fingerprint clearance associated to facility.
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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.
SUPERVISOR'S NAME:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025


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