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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493251
Report Date: 12/06/2024
Date Signed: 12/06/2024 11:14:04 AM

Document Has Been Signed on 12/06/2024 11:14 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PERESECHANSKAYA FAMILY CHILD CAREFACILITY NUMBER:
197493251
ADMINISTRATOR/
DIRECTOR:
PERESECHANSKAYA, ZHANNETAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 800-0911
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
12/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:22 AM
MET WITH:Licensee Zhanneta PeresechanskayaTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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On 12/6/24, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced Plan of Correction (POC) Visit. Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee Zhanneta Peresechanskaya, who guided the LPA on a tour of the facility. There were ten children present during today’s inspection, of which 1 was an infant. LPA also observed Staff 2 present at the time of this inspection.

During the Required - 3 Year inspection continued on 11/1/24, the following deficiencies were issued:

1. Physical Plant - Type B: 102417(g)(3) - Stairs missing a gate. Mesh barrier purchased, POC clear.
2. Physical Plant - Type B: 102417(g)(9)(A) - Fire drills are not being conducted. Fire drill conducted 10/29/24.
POC clear.
3. Facility Administration - Type B: 1596.8662(b)(1) - All 5 staff missing mandated reporter training.
NOT COMPLETED. Russian is the licensee's primary language and licensee did not understand how to complete the training.
4. Facility Administration -Type B 102416.1(a) - 3 of 5 staff missing personnel records. Two of the staff have resigned as of 11/1/24. POC clear.
5. Records - Type B: 1597.622(a)(1) - 3 of 5 staff missing flu declination.
Poc clear.
6. Records - Type B: 102425(j)(2)(D)(c) - Missing 15 minute chart for 1 infant child.
Poc clear.
7. Physical Plant - Type B: 102417(g) - Kitchen missing electrical plug covers, cabinets and drawers missing safety features, part of the BBQ area fence is removed, and BBQ area has a gap big enough for a small child to fit through near the property wall, the door to the laundry room was open, all need to be made inaccessible. 2 gates purchased to make the kitchen inaccessible, a gate barrier in front of the BQQ area ad a row of plants made a barrier to prevent access from the side by the property wall. POC clear.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PERESECHANSKAYA FAMILY CHILD CARE
FACILITY NUMBER: 197493251
VISIT DATE: 12/06/2024
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8. Facility Administration - Type B: 1597.622(c) - 2 staff missing, proof of T-dap, TB, and measles immunization's. Not completed. A Civil penalty assessed. See LIC421FC for details.

Licensee will email completed Mandated reporter certificates for all staff by 12/13/24.

Licensee Zhanneta Peresechanskaya still missing Measles and T-dap.

Staff #5 still missing, T-dap, TB, and Measles.

Exit interview conducted and report was reviewed with the Licensee Zhanneta Peresechanskaya.

A notice of site visit was given and advised Licensee that it must remain posted for 30 days.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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