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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313158
Report Date: 10/28/2024
Date Signed: 10/29/2024 01:00:51 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/15/2024 and conducted by Evaluator Dean Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240715092050
FACILITY NAME:CHERNOBROVINA, SVETLANAFACILITY NUMBER:
304313158
ADMINISTRATOR:CHERNOBROVINA, SVETLANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 717-9848
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: 10DATE:
10/28/2024
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Svetlana ChernobrovinaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff inappropriately discipline daycare children.
INVESTIGATION FINDINGS:
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This is an amended report
Licensing Program Analyst (LPA) Thompson conducted an unannounced complaint investigation on today’s date. This is a continuation of the investigation initiated on 8/5/2024. Upon arrival, LPA met with licensee Svetlana Chernobrovina then toured the facility. At the time of the tour, LPA observed a total of 10 Children inside the living room area of the family childcare home.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 7/15/2024, the Orange County Child Care Office received a complaint with seven (1) allegation listed above.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
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 4
Control Number 06-CC-20240715092050
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHERNOBROVINA, SVETLANA
FACILITY NUMBER: 304313158
VISIT DATE: 10/28/2024
NARRATIVE
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During the investigation, LPA interviewed licensee, interviewed assistant, interviewed parents, reviewed staff files, reviewed children files, and took pictures.

Staff inappropriately discipline daycare children. RP stated a staff member would put children in the closet for up to an hour if a child would not stop crying. During interviews with licensee and assistant, both denied placing children in any closet. Licensee and assistant stated as a form of discipline, they separate the children if they become physical with each other and sit the children on the bench inside the home near the front door as a form of time out as they talk to them. LPA Wasn’t able to verify that children were being placed inside the closet as a form of discipline. However, over the course of the investigation, LPA did learn through interviews that an assistant was observed pinching and pulling the ear of child #1(C1) as the assistant brought C1 into the house from the outside play area.

Parent interviews were conducted. LPA contacted five parents via phone call. Out of five parents, three parents were able to be interviewed. Parents interviewed did not divulge and information pertaining to the allegations.

LPA attempted to interview children on 8/5/2024. During the visit there were eight children present. LPA attempted to conduct interviews with all eight children present via Russian translator. All eight children were not verbal with the Russian Translator.

Based on interviews and learning an assistant was observed pinching and pulling the ear of (C1); the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 12, is being cited on the attached LIC 9099 D for the deficiency section 102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 06-CC-20240715092050
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHERNOBROVINA, SVETLANA
FACILITY NUMBER: 304313158
VISIT DATE: 10/28/2024
NARRATIVE
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LPA Thompson informed licensee Svetlana Chernobrovina that this report dated 10/28//2024, document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Thompson informed the licensee Svetlana Chernobrovina to provide a copy of this licensing report dated 10/28/2024, 2024 that documents any Type A citation(s) 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.


Exit interview conducted and report was reviewed with licensee Svetlana Chernobrovina. Notice of site visit was given and must remain posted for 30 days. Failure to comply with the posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights and deficiencies were discussed. The Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20240715092050
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHERNOBROVINA, SVETLANA
FACILITY NUMBER: 304313158
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/28/2024
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication, or aids to physical functioning.

This requirement was not met by:
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Licensee stated the assistant involved in the incident involving C1 was terminated from the family child care home.
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Based on interviews, the licensee did not comply with the section cited above. During interviews, LPA learned an assistant (A1) was observed pinching and pulling the ear of Child #1 (C1), which 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: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
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