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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493830
Report Date: 07/22/2024
Date Signed: 07/22/2024 02:11:34 PM

Document Has Been Signed on 07/22/2024 02:11 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:KONDRASHOV FAMILY CHILD CAREFACILITY NUMBER:
197493830
ADMINISTRATOR/
DIRECTOR:		DMITRI KONDRASHOVFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 951-3334
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:31 PM
MET WITH: Maria Valdez Assistant/TeacherTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
NARRATIVE
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On 7/22/2024 Licensing Program Analysts (LPA) Judy Laureano and Ranita Richmond arrived at above mentioned facility unannounced, to conduct a Case Management – Other inspection. LPA Laureano was greeted by Maria Valdez, assistant/teacher. LPA Laureano observed 6 children in care. M. Valdez reported that the Licensee is out of state with no definite date of return.

Licensee arrived at the home at approximately 11:42 a.m. Licensee, Dmitri Kondrashov, left the home at at 11:54 due to a doctor's appointment.

LPAs toured the inside and the outside of the home. LPAs observed electrical outlets in the home not properly covered, which poses a potential health and safety risk to the children in care.

Outlets in the back room ( outlets) were observed missing covers. Outlets in the front room (4 outlets) were missing covers.

Per Title 22 Regulations and Health and Safety Codes Deficiencies were cited today see LIC 809D.

An exit interview was conducted. A copy of this report (LIC 809) and Notice of Site Visit were provided to Maria Valdez.

Notice of Site visit must remain posted for 30 days

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2024
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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Document Has Been Signed on 07/22/2024 02:11 PM - It Cannot Be Edited


Created By: Judy Laureano On 07/22/2024 at 11:49 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KONDRASHOV FAMILY CHILD CARE
FACILITY NUMBER: 197493830

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2024
Section Cited
CCR
102417(g)

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102417 (g) Operation of a Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:
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Licensee agrees to add covers to electrical outlets in the front room (4 outlets) and back room (7 outlets) and submit pictures of veriifcaiton to LPA via email.
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This requirement was not met as evidence by: LPAs observed outlets in the back room and living room exposed without safety covers, which poses a potential health and safety risk to 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.
SUPERVISOR'S NAME:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2024


LIC809 (FAS) - (06/04)
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