343625666-9-18-2024-03-CC-MPEZ-D98PZG-20240918114531

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343625666
Report Date: 09/18/2024
Date Signed: 09/18/2024 11:46:18 AM

Document Has Been Signed on 09/18/2024 11:46 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:	KASHIRSKII, ANDREI		FACILITY NUMBER:	343625666
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	09/18/2024
TYPE OF VISIT:	Office	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Andrei Kashirskii		TIME VISIT/ INSPECTION COMPLETED:	12:00 PM

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Licensing Program Manager (LPM Amanda Blesi and Licensing Program Analyst (LPA) Michelle Perez met with Licensee, Andrei Kashirskii and to help assist with interpretation, spouse Margarita Kashirskaia was present, for the purpose of an informal office visit.

LPM defined the difference between non-compliance and an informal meeting. LPM advised that the purpose of today's meeting is to help the facility gain compliance. Today's informal meeting was to discuss the type A and type B citations issued on 7/23/2024, 8/2/2024 & 8/6/2024 during complaint inspections. The citations are as follows:

Citation A on July 23, 2024- 102416.5 (A)- Ratio. The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. Evidence was provided of children in care that exceeded small family ratios. LPA observed 11 children in care through a photo that surfaced, during operating hours.

Citation A on August 6, 2024 – 102370 (D)(2)- Criminal record clearance transfer was not completed. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility. LPA observed that licensee had spouse present and did not request to associate spouse when licensed. During the period from March 14, 2024, through July 28, 2024, spouse would be present in the facility assisting with care of children and did not have an active criminal record clearance transfer.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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: KASHIRSKII, ANDREI	FACILITY NUMBER: 343625666
	VISIT DATE: 09/18/2024

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Citation B on July 23, 2024- 102416.2(A)- Reporting requirements- The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours. LPA was made aware of an incident that involved the police, during operating hours. The incident was not reported by licensee to LPA.

Citation B on August 2, 2024 - 102417 (A)- 80% of operating hours- Licensee not present 80% of operating hours. The licensee shall be present in the home and shall ensure that children in care are supervised at all times. 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. LPA found through several interviews, for a complaint investigation, licensee was not present, and left assistant to run the childcare and provide full time care for children.

LPM and LPA discussed with licensee preventative measures that will be taken to avoid repeat violations. Licensee explained;

1. Licensee is now present 100% of the time, living in residence

2. Participates in all activities from beginning of day to end of day

3. Installed cameras to capture daily activities and ensure safety of children

4. Understands reporting requirements and time frames

5. Hired daughter to live at residence and become a co-licensee.

LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. Licensee will follow up with request to LPA for TSP services. LPA discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM suggested that Licensee can view information videos at www.ccld.childcarevideos.org .

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

LIC809 (FAS) - (06/04)

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