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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622925
Report Date: 06/25/2024
Date Signed: 06/25/2024 09:47:42 AM

Document Has Been Signed on 06/25/2024 09:47 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MARTYNOV, TATYANA AND LOBKOV, YEKATERINAFACILITY NUMBER:
343622925
ADMINISTRATOR/
DIRECTOR:		MARTYNOV, TATYANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 990-2986
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
06/25/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Tatyana MartynovTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On Tuesday June 25, 2024, Licensing Program Analysts (LPA) Stephanie Piring and Jennifer Velasco met with Licensee, Tatyana Martynov and Katie Lobkov, for an unannounced Plan of Correction inspection. During the inspection there was a census of two children in care being supervised by the licensee.

This facility was previously cited on 06/13/24 under CCR 102417(g)(5) for having an accessible body of water. During today's visit, LPAs observed a 5 foot fencing enclosing the above ground pool entirely, there is no decking around the pool. The gate is self closing and self latching. LPAs provided technical assistance regarding the ladder and a table on the side of the pool, which licensee complied and moved immediately. LPA will clear the deficiency that was cited on 06/13/24.

Report was reviewed and exit interview was conducted with Licensee Tatyan Marynov and Katie Lobkov . A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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