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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304312568
Report Date: 02/01/2024
Date Signed: 02/01/2024 12:02:37 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/09/2023 and conducted by Evaluator Giselle Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20231109151403
FACILITY NAME:SIDYELNIKOVA, SVITLANAFACILITY NUMBER:
304312568
ADMINISTRATOR:SIDYELNIKOVA, SVITLANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 470-1934
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:14CENSUS: 0DATE:
02/01/2024
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Licensee Svitlana SidyelnikovaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee did not ensure that knife was stored locked and inaccessible to daycare children
Licensee did not report a communicable disease outbreak to appropriate parties
Licensee did not allow a parent to enter the facility
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Lucero and Jung conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 11/17/2023. Upon arrival LPAs met with Licensee Svitlana Sidyenikova who guided LPAs on a tour of the facility. There were no children present, as facility is currently inactive.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The department received a complaint on 11/09/2023 alleging (1) Licensee did not ensure that knife was stored locked and inaccessible to daycare children, (2) Licensee did not report a communicable disease outbreak to appropriate parties, (3) Licensee did not allow a parent to enter the facility.
(continue to page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 6
Control Number 06-CC-20231109151403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SIDYELNIKOVA, SVITLANA
FACILITY NUMBER: 304312568
VISIT DATE: 02/01/2024
NARRATIVE
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(Page 2)
Reporting Party (RP) reported on 7/18/2023, RP arrived at the daycare to pick up child #1 (C1) due to C1 being sick. When RP arrived at the daycare, Staff #1 (S1) would not allow RP to enter the home. S1 told RP that the children were napping and that the RP had to wait outside until all of the daycare children were awake from napping. RP also reported that on 07/08/2023, seven children were discovered to have the Rotavirus at the daycare home. RP stated that prior to the seven children getting the virus, S1 knew that one daycare child had symptoms of the virus but S1 did not inform the parents about the virus and doesn’t think S1 had reported it to the licensing office. RP also reported that on 8/15/2023, C1 had access to a knife at the daycare home. RP stated that on 8/16/2023, staff #2 (S2) informed RP that on 8/15/2023, S2 left a small knife on a table after cutting apples for the children. Afterwards, C1 picked up the knife and held the knife in their hand and S2 took the knife from C1. RP stated that no one was injured while C1 was holding the knife.

During the investigation LPA Lucero interviewed 3 staff members, 2 parents, conducted a facility inspection and reviewed children’s roster.

Staff #1 (S1) was interviewed on 12/28/2023. S1 stated the knives are stored in an upper cabinet. S1 also stated meals/snacks are prepared in the kitchen but the apples get cut, peeled, and handed out on the dining table due to the apples oxidizing quickly and wanting to provide the children with fresh apples. S1 stated S2 cut the apples on the table with the children sitting around the table. S2 would keep the knife in between S2’s legs with the razor-sharp edge pointing down. S1 stated C1 was impatient and would jump around and wanted to get the apples before the other children. S1 stated C1 might have jumped and grabbed the knife but S2 stopped the child with their hand. S1 disclosed the incident was discussed with C1’s parents and they came to conclusion that staff would be more aware and focused especially when C1 was around due to C1 being very active and having unpredictable moves. S1 also stated to avoid situations like that, from now on all fruits will be cut in the kitchen.

(continue to page 3)
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20231109151403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SIDYELNIKOVA, SVITLANA
FACILITY NUMBER: 304312568
VISIT DATE: 02/01/2024
NARRATIVE
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(Page 3)
S1 disclosed there was a Rota virus outbreak at the facility on 07/19/2023-07/20/2023 and a total of 10 children and 2 staff contacted the Rota Virus. S1 stated parents were notified of the outbreak in person and parents were informed of symptoms and what to do if their child was sick. S1 stated Licensing nor the Health Department were notified of the epidemic outbreak or the incident with C1. S1 also stated parents are not allowed in the facility except if it is new parents that are touring the facility. S1 stated parents are not allowed because some parents would be coughing and sneezing. S1 also stated when parents drop off their children, if the child saw the parent, the child would cry, and when one child cries, all the other children cry.
Staff #2 (S2) was interviewed on 01/11/2024. S2 stated all the knives are stored in a cabinet and children don’t have access to the cabinet. When staff prepare food or vegetables, the knives are used and put back in the cabinet. S2 reported meals/snacks are prepared in the kitchen. S2 denied ever observing C1 have access to a knife. S2 stated recalling telling C1’s parents that C1 had climbed on the table to get a plate that had apples and the incident seemed odd to S2 because no other child has done that. S2 disclosed there was a Rota Virus outbreak at the facility more than 2 years ago but does not recall how many children had it. S2 stated parents are only allowed in the facility when they are new and are being given a tour, current parents are not allowed inside the facility and parents pick up their children and stay outside the door. S2 stated parents are not allowed in the facility because some parents are often ill and because there has been a situation where a child was frightened when adults came inside the facility, and staff wanted to avoid frightening the child.

Staff #3 (S3) was interviewed on 01/19/2024. S3 stated knives are stored in the upper shelf in the kitchen. S3 stated apples are cut on the dining table. S3 denied ever observing a child having access to a knife. S3 also denied being aware of a Rota Virus outbreak at the facility. S3 disclosed parents are not allowed in the facility.
No children were interviewed during the investigation as the facility is inactive and there were no children present during LPA’s visit.
The Facility failed to inform the Licensing Office of the epidemic outbreak at the facility. During the interview with S1, S1 stated being unaware the facility is required to report an outbreak to Licensing and to the Health Department. LPA Lucero informed S1 to report any outbreaks of two or more cases to the Licensing Office, as well as to the Health Department.
(continue to page 4)
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 06-CC-20231109151403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SIDYELNIKOVA, SVITLANA
FACILITY NUMBER: 304312568
VISIT DATE: 02/01/2024
NARRATIVE
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(Page 4)
On 01/23/2024, LPA attempted to interview 7 parents, however only 2 parents were available for interview. Parents interviewed stated they were satisfied with the day care and were notified of any outbreak that occurred at the facility. Parents interviewed also stated being unable to enter the facility.

Based on interviews with 3 staff members, facility inspection conducted, and interviews with 2 parents, it has been determined (1) Licensee did not ensure that knife was stored locked and inaccessible to daycare children, (2) Licensee did not report a communicable disease outbreak to appropriate parties, (3) Licensee did not allow a parent to enter the facility. Therefore, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, Title 22, 1012423 (a)(2) Personal Rights, 102416.2 (c)(3) Reporting Requirements, and 102419 (a)(1) Admission Procedures and Parental and Authorized Representative's Rights are being cited on the attached LIC 9099D.

LPA Lucero informed Licensee Svitlana Sidyenikova that this report dated 02/01/2024 document(s) one (1) Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Lucero informed the licensee to provide a copy of this licensing report dated 02/01/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview was conducted and report was reviewed with Licensee Svitlana Sidyenikova in Russian using Focus Language International. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 06-CC-20231109151403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SIDYELNIKOVA, SVITLANA
FACILITY NUMBER: 304312568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/01/2024
Section Cited
CCR
1012423(a)(2)
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1012423 Personal Rights,(a)Each child receiving services from a family child care home shall have certain rights ... These rights include, but are not limited to, the following: (2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee stated staff from now on will cut the apples in the kitchen and will ensure that the knives are locked.
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Based on interviews conducted it has been determined staff did not ensure that knife was stored locked and inaccessible to daycare children. This is an immediate risk to the safety of the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20231109151403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SIDYELNIKOVA, SVITLANA
FACILITY NUMBER: 304312568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/01/2024
Section Cited
CCR
102416.2(c)(3)
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102416.2 Reporting Requirements (c) In addition to the events... the licensee shall report the following events to the Department: (3) A communicable disease outbreak when determined by the local health authority.
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Licensee stated from now on any outbreaks that occur at the facility will be reported to the licensing office and the health department.
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This requirement is not met as evidenced by: Based on interviews conducted, it has been determined staff failed to inform the licensing office and health department of the epidemic outbreak at the facility. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
02/01/2024
Section Cited
CCR
102419(a)(1)
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102419 Admission Procedures and Parental and Authorized Representative's Rights (a) the licensee shall inform parents or authorized representatives of children in care of their rights, which include... (1) To enter and inspect the family child care home....
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Licensee stated she will allow parents to enter the facility.
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Based on interviews conducted, it has been determined staff does not allow parents to enter the facility. This poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6