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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624809
Report Date: 02/26/2025
Date Signed: 02/26/2025 09:30:46 AM

Document Has Been Signed on 02/26/2025 09:30 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:BURAKOVSKA, LIUDMYLAFACILITY NUMBER:
343624809
ADMINISTRATOR/
DIRECTOR:		BURAKOVSKA, LIUDMYLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 272-6915
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/26/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Liudmyla BurakovskaTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
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On 2/26/2025 at approximately 08:40AM, Licensing Program Analyst (LPA) Michelle Perez met with Licensee, Liudmyla Burakovska, for an unannounced inspection. During the inspection there was a census of NO CHILDREN present. All individuals subject to criminal background review have obtained a criminal record clearance. Facilities hours of operation are 24 hours a day, for seven days a week. However, during today's inspection, LPA found active construction taking place. The licensee is adding on an addition to the existing house, where it will add an additional room, bedroom and bathroom. LPA was unaware of this. Licensee did not contact LPA. Licensee stated she has not had many children since November, but did not contact licensing, and would like to close March 3, 2025 until March 14, 2025. LPA explained with the new addition of the house, a new fire clearance will be needed and approved before it can be used, as well as final permits. When construction is complete, Licensee must contact LPA to complete a new inspection of the new addition and verify that that the fire department has cleared the new addition. Licensee stated, she will have two children in the existing part of the house in the evenings until March 3, 2025.

A health and safety inspection was conducted in the areas accessible to children. There are no off limit areas. Licensee understands that children may never enter these off-limits areas. The house has a working telephone, fully charged fire extinguisher, smoke detector and carbon monoxide detector that meet regulations. LPA observed all required postings. LPA observed home was safe, orderly, and free of hazards. LPA advised the licensee that if there are any poisons at the home, all poisons must be locked with a key lock or combination lock. The licensee stated that there are no firearms or bodies of water on the premises.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BURAKOVSKA, LIUDMYLA
FACILITY NUMBER: 343624809
VISIT DATE: 02/26/2025
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LPA observed a children's roster and fire drill log, the last fire drill was conducted January 2025. Licensee's has current CPR/First aid, which expires March 2025. Licensee’s Mandated Reporter Training expires May 2025. Licensee understands both training’s must be completed every two years. LPA did not review records of children’s files, as there all which contained the required documentation.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee is aware of safe sleep regulations. No infants in care at this time.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

No deficiencies were cited during today’s inspection.

Exit interview conducted and report was reviewed with the Licensee. A notice of site visit was provided and must remain posted for 30 days

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC809 (FAS) - (06/04)
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