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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004920
Report Date: 09/13/2024
Date Signed: 09/13/2024 10:53:43 AM

Document Has Been Signed on 09/13/2024 10:53 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:OCHINCA, OLGAFACILITY NUMBER:
384004920
ADMINISTRATOR/
DIRECTOR:
OLGA OCHINCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 684-6678
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94123
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
09/13/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Applicant, Olga OchincaTIME VISIT/
INSPECTION COMPLETED:
11:05 AM
NARRATIVE
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On 9/13/2024, at approximately 9:05AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an announced prelicensing visit at the address. LPA met with Applicant, Olga Ochinca (A1), and explained the purpose of the visit. Applicant requested a change of location from facility number 384004094. Present during the visit was Applicant.

Daycare Areas: Living Room, Dining Room, Kitchen, Toilet Room, Bedroom #2, Bedroom #4, Half-Bathroom (attached to Bedroom #4), and Backyard.

Off-limits Areas: Bedroom #1, Bedroom #3, Deck (accessible from Bedroom #1), Garage (used for pass-through only into Backyard/Bedroom #4).

LPA and A1 inspected the home for any health or safety hazards. LPA observed there to be a fully charged 2A10BC fire extinguisher present in the Kitchen. There is an operational carbon monoxide detector present. Electrical outlets are covered or obstructed by furniture to be inaccessible to children in care. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. There is a fireplace present in the Living Room that has been barricaded. Stairs are rendered inaccessible to children via childproof gates or locks.

LPA observed age-appropriate toys and learning materials to be present in the home. The surface of the home was observed to be clean and free of debris. Furniture is age-appropriate and free of rough or sharp edges. The Living Room and Bedroom #4 are intended to be used as play areas. Per A1, Bedroom #2 is a napping area. LPA observed four cribs and a bed to be available for children to nap on. Mattresses are fitted with tight-fitting sheets and are manufactured for the cribs that they are placed in. A1 stated that they intend to provide lunch and AM/PM snacks for children in care. LPA observed Kitchen cabinets and drawers to be free of items such as cleaning detergents, knives, or other potential hazards. Stove knobs are secured with childproof covers and the oven is locked to prevent access by children.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: OCHINCA, OLGA
FACILITY NUMBER: 384004920
VISIT DATE: 09/13/2024
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LPA observed the outdoor play area to be free of debris and other loose articles. It is enclosed by a fence that is at least four feet high. There are age-appropriate toys and equipment available for children in care. There are no swimming pools or other similar bodies of water present in the facility. Per A1, there are no weapons or firearms stored in the home. The facility has acquired fire clearance as of 9/3/2024.

LPA discussed safe sleep regulations with A1 and provided a sample infant sleeping log for reference. Infants are children from 0 months to 24 months of age. LPA stated that sleep sacks are not to be used for sleeping infants. Sleeping checks are to be conducted every 15 minutes. Doors to rooms where infants are sleeping are to remain open such that the door does not need to be moved for a provider to see all sleeping infants. Individual Infant Sleeping Plan (LIC9227) is required for children from 0 months to 12 months of age.
Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

The applicant has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase
the capacity and provide care to 14 children.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (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.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: OCHINCA, OLGA
FACILITY NUMBER: 384004920
VISIT DATE: 09/13/2024
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LPA reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

On this date, 9/13/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly
cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/ subscribe and select the Child Care option to receive email communication.
LPA to recommend approval of license effective today, 9/13/2024.
Exit interview conducted and report was reviewed with the applicant, Olga Ochinca.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
LIC809 (FAS) - (06/04)
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