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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101832
Report Date: 03/12/2024
Date Signed: 03/12/2024 12:50:08 PM

Document Has Been Signed on 03/12/2024 12:50 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NELYUBINA,MARIA & ZENIN,EVGENY FAMILY CHILD CAREFACILITY NUMBER:
376101832
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
03/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Licensee, Maria NelyubinaTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced case management inspection for increase in capacity. LPA met with Licensee, Maria Nelyubina. There were 6 children present today. This visit is to verify that the licensee remains in substantial compliance with the health & safety standards as required by regulations governing large family childcare homes. Licensee has all appropriate forms posted. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 3/6/24.

LPA toured the home. The home is two-story. Licensee uses the following areas for day care: Living room, Dining room, Bedroom 1, Bathroom 1, and Backyard. Off-limits areas consist of: Office, Kitchen, Garage, and all of the 2nd floor. There are no wall heaters, however, there is a fireplace in the living room and another fireplace in the dining room that have been barricaded to be inaccessible for children. Licensee stated there are no bodies of water and LPA did not observe any. Licensee states that there are no weapons or ammunition in the home and LPA did not observe any either. The fire extinguisher size (2A10BC) meets requirements and is fully charged and is located in the kitchen area. The smoke alarm and carbon monoxide detector combo is located in the hallway between bedroom 1 and dining room, it is functional and meets department regulations.

Licensee’s Pediatric CPR/First Aid is valid through October 2024. Licensee has a Mandated Reporter Training certificate that also expires October 2024. All adults living or working in the home have been fingerprint cleared, associated, and immunization requirements have been met. Outdoor play will take place in the backyard with constant supervision.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NELYUBINA,MARIA & ZENIN,EVGENY FAMILY CHILD CARE
FACILITY NUMBER: 376101832
VISIT DATE: 03/12/2024
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LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, heat-related illness, child passenger law, unusual incidents, mandated reporting, Assembly Bill 633, SIDS, Safe sleep regulations, Shaken Baby Syndrome, Megan's law and Covid information. Applicant is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Any equipment used should only be used according to the manufacturer recommendations. For licensing regulations/updates/forms, go to webpage http://www.ccld.ca.gov

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

An exit interview was conducted with licensee, Maria Nelyubina.

No deficiencies were cited. A large license will be granted upon final file review. A notice of site visit was issued and shall remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
LIC809 (FAS) - (06/04)
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