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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300881
Report Date: 09/29/2023
Date Signed: 09/29/2023 11:46:06 AM

Document Has Been Signed on 09/29/2023 11:46 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MIRONOVA FAMILY CHILD CAREFACILITY NUMBER:
336300881
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/29/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Natalia MironovaTIME COMPLETED:
11:55 AM
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On September 29 2023, at 10:40 AM Licensing Program Analyst(LPA) Courtnee Peebles arrived to Mironova family child care to conduct a plan of correction visit. LPA Peebles conducted a prelicensing visit on 09/20/2023. On September 29, at 10:40 AM LPA toured the facility inside and out and the following was observed and or discussed.

Applicant has made the following corrections
  • Off limit bedrooms and closets all have safety knobs on the door handles
  • Mandated Reporter training has been competed by both applicant and applicants assistant
  • Child car seat law and Complaint hotline has been properly posted in view by the entrance of the home
  • Pool has been properly barricaded to prevent accessibility to children

APPLICANT HAS MET ALL NECESSARY REQUIREMENTS FOR LICENSURE AT THIS TIME. LPA WILL BE ISSUING A LICENSE FOR A SMALL FAMILY
CHILD CARE HOME WITH A MAXIMUM capacity of 6, or 8 WITH PARENT NOTIFICATION.

An exit interview was conducted with Natalia Mironova, and a copy of this report was provided to the applicant on this date.

A copy of this report must be made available to the public for 3 years.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2023
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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