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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623597
Report Date: 06/10/2024
Date Signed: 06/10/2024 09:49:44 AM

Document Has Been Signed on 06/10/2024 09:49 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:VOICOVA, MARIAFACILITY NUMBER:
343623597
ADMINISTRATOR/
DIRECTOR:
VOICOVA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 273-2741
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95742
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
06/10/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Maria VoicovaTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Erwina Pascual-Golamco and Gagandeep Singh, met with Licensee, Maria Voicova, for an unannounced Case Management - Licensee Initiated Backyard Inspection with in ground pool. All individuals subject to criminal background review have obtained a criminal record clearance. Facility operates Monday through Sunday with variable hours as needed.

Licensee requested to place backyard as an area accessible to children. LPA observed backyard is fenced, there is an in-ground pool on the premises, and the fence completely surrounds the pool, with no window and door access to the pool. LPA observed that the fence is constructed so that it does not obscure the pool from view, gates swing away from the pool, self-close and are self-latching. Self-latching device is located no more than six inches from the top of the gate. Fence is not easily climbable by children. Opening between railings does not exceed 4 inches, Bottom of fence is no more than 4” from the ground on hard surface, except at one section. There are no horizontal railings, as the fence is made out of mesh material. Fencing is thick enough that it cannot easily be broken, removed, or stretched by children. LPA consulted applicant regarding the following topics: PIN 23-17-CCLD (YEAR-ROUND/DAILY REMINDER OF WATER SAFETY REQUIREMENTS AND MEASURES) and best practices.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: VOICOVA, MARIA
FACILITY NUMBER: 343623597
VISIT DATE: 06/10/2024
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The following items are required before the backyard can be placed in an area accessible to children:
  1. Bottom of the fence must be no more than 4 inches from ground, as LPA observed at one section, the fence is loose can be lifted for more than four inches.
  2. Where pool fencing connects to exterior fencing, the gap must not exceed 4". LPA observed the gap between the pool fence and the property fence is more than four inches.
  3. Licensing Program Manager's final file review must be completed.

No deficiencies were cited during today’s inspection. Another inspection will be conducted to verify the corrections.

Exit interview conducted and report was reviewed with Licensee, Maria Voicova. A notice of site visit was provided and must remain posted for 30 days

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024
LIC809 (FAS) - (06/04)
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