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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625886
Report Date: 01/10/2025
Date Signed: 01/10/2025 02:06:49 PM

Document Has Been Signed on 01/10/2025 02:06 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:SKRYPCHENKO, MARYNAFACILITY NUMBER:
343625886
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
01/10/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Maryna SkrypchenkoTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
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On Friday, January 10, 2025 at 1:25 PM, Licensing Program Analyst (LPA) Tanya Washington met with Licensee Maryna Skrypchenko for an unannounced case management inspection to increase capacity to the maximum number of 14 children. During today's inspection LPA observed Licensee providing care and supervision to five napping children. Also present in the home is Licensee's friend. Facility hours and days of operation are Monday- Friday from 6 AM to 8 PM. Licensee understands that care may not be provided to the same child for over 24 hours.

Licensee rents the facility and provided proof of control of property with the initial application. Licensee informed the landlord that she is increasing her capacity to the maximum number of 14 children and obtained the landlord's consent on form LIC9149. LPA discussed and provided a visual of capacity/ ratio options with and without an assistant. LPA also reminded Licensee that when her or an assistant are left alone with children they divert to small license ratio/ capacity requirements.

On December 26, 2024, Sacramento Metropolitan Fire Department granted a fire clearance to operate a large license.

The off limit areas in the home consist of entire second floor, garage and laundry room. The Licensee acknowledged that children may never enter these off-limit areas. Off-limit areas will remain inaccessible to children by closed door and/or supervision. Toxic and hazardous items are inaccessible to children.

Per Licensee there are no weapons on the premises. Infant safe sleep guidelines were discussed.

Licensee's CPR and First Aid is valid until 03/01/2026.

EFFECTIVE TODAY, 01/10/2025 THE FACILITY IS LICENSED TO SERVE A MAX. CAP OF 12 (WHEN THERE IS AN ASSISTANT PRESENT): WITH NO MORE THAN 4 INFANTS.
OR MAX CAP 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6. Notice of site visit posted and appeal rights were provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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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