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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623884
Report Date: 05/02/2024
Date Signed: 05/02/2024 03:02:26 PM

Document Has Been Signed on 05/02/2024 03:02 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LEBEDEVA, NATALIYAFACILITY NUMBER:
343623884
ADMINISTRATOR/
DIRECTOR:		LEBEDEVA, NATALIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(775) 219-9923
CITY:SACRAMENTOSTATE: CAZIP CODE:
95842
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
05/02/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Nataliya LebedevaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On Thursday, May 2, 2024, Licensing Program Analyst (LPA) Amanda Sutter met with licensee Nataliya Lebedeva for the purpose of a case management inspection. Upon arrival, LPA observed 7 napping children supervised by licensee’s assistant. Licensee’s husband was also at the facility. All individuals subject to background review have obtained a criminal record clearance.

Construction began at the facility on 2/12/2024 and was completed on 4/26/2024. Construction included adding room #3, moving the front door, and adding a gate to the side of the front yard. Prior to inspection, Licensee provided LPA with an updated facility sketch. During the inspection, LPA was provided a report from the building inspector. LPA verified that building clearance is contingent upon exterior lights being sealed, fixing a connection on the sink, and a fire clearance. A fire inspection was conducted the morning of 5/2/2024. Licensee stated that she had received approval from the fire inspector. As of the time of this report, LPA has not received a fire clearance.

A health and safety evaluation was conducted in all areas accessible to children. Off-limit areas will include: bedroom 1 and 2, master bedroom and bath, garage, and south side yard. Licensee acknowledged that children may never enter these off-limit areas. LPA toured the facility and observed all on limits areas to be clean, sanitary, and safe for children. LPA observed that the backyard is currently unfenced. Licensee understands that 100% supervision is required in unfenced areas.

Following clearance by the building inspector and receipt of fire clearance, licensee is approved to use room #3.

In the areas that were evaluated, no deficiencies were observed at the time of the visit. Exit interview was conducted with Licensee Nataliya Lebedeva. A notice of site visit is posted.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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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