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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314674
Report Date: 09/14/2026
Date Signed: 09/14/2026 03:14:55 PM

Document Has Been Signed on 09/14/2026 03:14 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SALII, INNAFACILITY NUMBER:
304314674
ADMINISTRATOR/
DIRECTOR:		SALII, INNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 306-3680
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92660
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
09/14/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:46 AM
MET WITH:Facility Representative/Manager, Mihail SaliiTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 09/14/2026, Licensing Program Analyst (LPA) Deschampe arrived at the Family Child Care Home (FCCH) at 11:46AM for the purpose of an unannounced Plan of Correction (POC) visit in conjunction with the Annual/Random inspection. LPA was allowed entry to the FCCH by the manager/Facility Representative, Mihail Salii and licensee, Inna Salii. LPA explained the purpose of the visit and was guided through the FCCH. Total enrollment is 12, with a census of 9 preschool children and 2 staff. Current census is due to various enrollment schedules. A review of staff criminal clearance record on this date 09/14/2026 indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or approved exemptions.

The POC is in response to the Type A violation issued on 09/10/2026: California Code of Regulations (CCR) Section 102416.5(e) Staffing Ratio and Capacity If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

The deficiency that was cited on the LIC 9099D on 09/10/2026 has been cleared through LPA observation, interview, and record review. FR stated all enrolled parents/authorized representatives have been informed and signed the LIC9224 Acknowledges of Receipt of Licensing Reports. LPA reviewed facility records confirming 14 out of 14 enrolled families signed the LIC9224. LPA observed 9 preschool-aged children with 2 staff, within licensing capacity.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed

Thuy Ho
Susan Deschampe
DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALII, INNA
FACILITY NUMBER: 304314674
VISIT DATE: 09/14/2026
NARRATIVE
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Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. LPA discussed with licensee and FR the CCR Criminal Record Clearance regulation and provided a copy.

During today’s inspection, LPA and FR toured the inside and outside areas identified in the facility sketch as accessible to child care children. There are no bodies of water on the FCCH grounds, but there is a community pool which is not used for children in care. The FCCH met all posting requirements, which were posted in a prominent, publicly accessible area in the FCCH. Off limits areas are made inaccessible by means of safety gates, closed/locked doors. Per FR, the primary child care area consists of the downstairs living space, 1 bathroom, and outdoor fenced play area. There is at least one or more functioning carbon monoxide detectors, smoke detector, and fire extinguisher (2A10BC) in the home that meet statutory and State Fire Marshall standards. The facility has conducted an emergency drill within the past six months (09/14/2026). Detergents, cleaning compounds, medicines, and other items which could pose a danger if readily available to children were stored inaccessible to children. FR stated there are no firearms and/or other dangerous weapons in the facility, and none were observed during today’s inspection. Poisons or other hazardous items which could pose a danger to children were not on the premises. There is a barricaded fireplace in the living room. The FCCH has age-appropriate toys for the ages served. Food is provided by the licensee and when personalized items are brought from the children’s homes, the container shall be labeled with child’s name and properly stored/refrigerated. LPA verified the facility maintains telephone service. LPA inspected the outdoor area and observed the space to be safe and free from any immediate and/or potential risks to the children in care. Licensee was reminded outdoor play shall be supervised by the licensee or caregiver.

Staff files were reviewed for staff present during the facility inspection on this date, 2 out of 2 staff files were reviewed. Beginning September 1, 2016, Health and Safety Code (HSC) §1597.622 states, a person shall not be employed or volunteer at a child care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for staff were reviewed and within compliance. HSC §1596.8662(b)(1) On or before March 30, 2018, a person who,...is a licensed childcare provider...of a licensed child day care facility shall complete the mandated reporter training...shall complete renewal mandated reporter training every two years following the date on which he or she

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALII, INNA
FACILITY NUMBER: 304314674
VISIT DATE: 09/14/2026
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completed the initial mandated reporter training. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications.



Children’s records for children present were reviewed, and there was a separate, complete and current record for each child. 3 out of 3 children's files were reviewed and found to be in full compliance. There was a separate, complete and current record for each child. In the areas reviewed the children’s files were found to be in full compliance. The licensee has a current roster of children in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product 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 their purchased equipment.

The licensee and FR understands they shall be present in the home and shall ensure that children in care are supervised at all times. Children are not to be left alone in parked vehicles. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. The substitute adult must have the required criminal record, child abuse index clearances, immunization documentation, Pediatric CPR/First Aid, and mandated reporter training.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps
NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALII, INNA
FACILITY NUMBER: 304314674
VISIT DATE: 09/14/2026
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families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



Based on LPA's observations, interviews, and records reviewed during this visit, the violation which was cited on 09/10/2026, is cleared.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview conducted and report was reviewed with the facility representative, Mihail Salii. During the exit interview, the facility representative, Mihail Salii, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Appeal Rights were discussed and provided to the licensee and their signature on this form acknowledges receipt of these rights. Licensee must file an appeal, in writing, to the Regional Manager within 15 business days from the date of receiving the penalty assessment or notice of deficiency. First level appeals should be sent to the Regional Manager at the address listed above. The Notice of Site Visit was posted during the visit. The licensee was reminded that the Notice of Site Visit must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on, or immediately adjacent to, the interior side of the main door to the facility.



Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
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. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SALII, INNA
FACILITY NUMBER: 304314674
VISIT DATE: 09/14/2026
NARRATIVE
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LPA assisted the Facility Representative on navigating the California Department of Social Services website for Guardian, CARE Tools, forms, etc. LPA discussed CCR regarding Child Care Centers (CCC), as requested by the facility representative. LPA provided copies of the CCR CCC Directors Qualifications and Duties, Teachers Qualifications and Duties, Teacher Aide Qualifications and Duties, and CCC Application Review. LPA reviewed CCR Operation of a FCCH and FCCH Reporting Requirements.
End of Report.
NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
LIC809 (FAS) - (06/04)
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