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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343626415
Report Date: 02/07/2025
Date Signed: 02/07/2025 10:16:24 AM

Document Has Been Signed on 02/07/2025 10:16 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:MIKHALCHUK, YEVGENIYFACILITY NUMBER:
343626415
ADMINISTRATOR/
DIRECTOR:		MIKHALCHUK, YEVGENIYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 275-5707
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/07/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Yevgeniy MikhalchukTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Loraine Perez met with Applicant Yevgeniy Mikhalchuk for an announced return prelicensing inspection. Initial inspection was preformed on 02/05/2025. Present during the inspection is the applicant alone. The purpose of the visit is to confirm the applicant lives in the home as required for licensure. All individuals subject to criminal background review have obtained a criminal record clearance. Hours of operation will be: Monday to Friday 8 AM to 5 PM.

The home is a two-story house which includes three bedrooms and three bathrooms, a kitchen with dining area, two living rooms, laundry room, garage, and fully fenced backyard with an outdoor shed. Off-limits areas include: entire second floor, laundry room, garage and outdoor shed. Applicants understands children may never enter off-limit areas.

A health and safety inspection was conducted on the interior and exterior of the home. LPA observed personal belongings and clothing in the bedroom of the applicant. LPA observed personal hygiene products in the bathroom that belong to the applicant. LPA confirms that the applicant does live in the home.

Effective today, 02/07/2025, this facility is approved for a Large Family Child Care Home license for a max capacity (when there is an assistant present) - 12 no more that 4 infants. Capacity 14 - no more than 3 infants and 1 child in Transitional Kindergarten or above and 1 child at least age 6. Capacity without assistant present - 8 no more than 3 infants present, 1 child in Transitional Kindergarten or above and 1 child at least age 6. Infants are children under the age of 2.



Exit interview conducted and report was reviewed with the Applicant, Yevgeniy Mikhalchuk.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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