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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700388
Report Date: 10/09/2024
Date Signed: 10/09/2024 11:50:08 AM

Document Has Been Signed on 10/09/2024 11:50 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BENKO, MARIYAFACILITY NUMBER:
015700388
ADMINISTRATOR/
DIRECTOR:		BENKO, MARIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 368-3821
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
10/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Mariya BenkoTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/09/2024 at 9:10AM Licensing Program Analyst (LPA) Jaleesa Jackson met with Licensee Mariya Benko for an Unannounced Annual/Random Inspection. Present for today inspection were the Licensee, her fingerprint cleared assistant, and 10 preschool aged children. One of the children included in todays ratio is licensees preschool aged child. Licensee’s home was toured for a health and safety inspection. The hours of operation are Monday - Friday from 8:00AM - 6:00PM.

ON LIMITS AREA: Two daycare playrooms (Bedroom #1 and Bedroom #2), Main daycare area (study area and eating area at the front entrance of daycare), and Bathroom #1
OFF LIMITS AREA: Entire 2nd Floor, Garage, Kitchen, Bathroom #2 (staff bathroom), Family Room, and the left side of Backyard/Patio
ISOLATION AREA: Bedroom #1 or Bedroom #2

The facility is a two-story home that is owned by the licensee. The main entrance to the daycare is on the right side of the house. Licensee has all required documents posted near the main entrance to daycare. The inside of the home was observed to have age appropriate materials for the children in good repair. During today's inspection all toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. The off limits area inside are made inaccessible with safety gates. Licensee provides all food for the children. All food that is brought from the children’s home will be properly labeled and stored. Licensee stated that she does not transport children. There are no pets and no firearms in the home.

There is one fully charged 3A40BC fire extinguisher in the daycare. The facility has a working phone, carbon monoxide, and smoke detector. The home is equipped with central heating and air for proper ventilation. LPA did not observe any harmful bodies of water in or around the home.
Continued 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: BENKO, MARIYA
FACILITY NUMBER: 015700388
VISIT DATE: 10/09/2024
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LPA Jackson observed the outdoor play area that has a play structure that is in good repair and a swing that is anchored to the ground. The off limits area of the backyard has fence to make it inaccessible to children. The outdoor play area is also fenced all around with secured gates. There is a large shaded area on the playground provided for the children.

LPA Jackson reviewed 8 children’s files and 2 staff files. An updated children's roster was viewed by LPA. The licensee has current CPR and first aid that expires 2/10/2026. The licensee's Mandated Reporter is current and expires 4/28/2026. The licensee has conducted and documented the fire and disaster drills at least twice a year and the last conducted drill was on 8/20/2024.

There were no deficiencies cited on today's visit.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee 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.

Continued 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: BENKO, MARIYA
FACILITY NUMBER: 015700388
VISIT DATE: 10/09/2024
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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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

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

During the exit interview, the LICENSEE Mariya Benko, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Mariya Benko.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC809 (FAS) - (06/04)
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