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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625886
Report Date: 04/03/2025
Date Signed: 04/03/2025 09:58:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/27/2025 and conducted by Evaluator Tanya Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250327083149
FACILITY NAME:SKRYPCHENKO, MARYNAFACILITY NUMBER:
343625886
ADMINISTRATOR:SKRYPCHENKO, MARYNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 875-4943
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: 6DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Maryna SkrypchenkoTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Licensee operates out of ratio
INVESTIGATION FINDINGS:
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On Wednesday, April 3, 2025, at approximaly 8:30 AM, Licensing Program Analysts (LPAs) Tanya Washington and Lea Habtom met with Licensee Maryna Skrypchenko to open and close a complaint investigation. Upon arrival, LPAs observed Licensee and Staff #1 providing care and supervision to four preschool aged children and two infants. The inspection was conducted in Russian language.

On March 26, 2025, Licensee received an unannounced inspection from Beanstalk resource agency, and at that time, had a ratio of five preschool children and five infants. This exceeds the Large Family Child Care Home ratios for infants. During today's inspection, Licensing staff interviewed licensee, reviewed childrens files, roster and went over ratio and capacity guidelines. Licensee stated one infant was a few days away from their 2nd birthday and she did not realize that.

.......Report continued on LIC9099-C........
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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 3
Control Number 03-CC-20250327083149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SKRYPCHENKO, MARYNA
FACILITY NUMBER: 343625886
VISIT DATE: 04/03/2025
NARRATIVE
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 Although there was an assistant present during March 26th, 2025 inspection the maximum infant capacity cannot exceed 4 infants when 12 children are present. Based on evidence presented, the preponderance of evidence standard has been met, and the allegation is substantiated.

Title 22 deficiency is cited on the subsequent page of this report LIC9099D. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Licensee. LIC9224 and Appeal Rights were provided. Licensee's signature on this report acknowledges receipt of these rights.

This report was reviewed with the Licensee and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250327083149
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SKRYPCHENKO, MARYNA
FACILITY NUMBER: 343625886
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/03/2025
Section Cited
CCR
102416.5(d)(1)
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For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time....(1) Twelve children, no more than four of whom may be infants. This requirement is not met as evidenced: On March 26, 2025, Licensee had five infants in care.
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Licensee stated that she did not realize that the infant who put her over ratio was under two years old. The child was a few days away from being 2 years old and is now 2.
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Facility was over ratio by one infant. This is an immediate health and safety risk to children in care.
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Deficiency is cleared today.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3