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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623526
Report Date: 12/16/2020
Date Signed: 12/17/2020 02:37:18 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/17/2020 and conducted by Evaluator Tanya Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20201117123418
FACILITY NAME:SHEVCHUK, OLENAFACILITY NUMBER:
343623526
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
12/16/2020
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Olena ShevchukTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Licensee is not treating children in care with dignity
INVESTIGATION FINDINGS:
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Licensing Program Analyst Tanya Washington made an unannounced phone call to Licensee Shevchuk to deliver complaint finding for the allegation of personal rights. The complaint is being delivered via Tele-Inspection due to COVID-19 pandemic.

During today's video Tele- Inspection Licensee was providing care to 3 children. It was alleged that the Licensee is not treating children with dignity. RP alleged that the Licensee would discuss other children's behavior issues and talk about other parents negatively. RP also alleged that the Licensee made fun of children's hygiene and how they dressed.
Licensee denies the allegation and states she treats all children and their parents with respect and dignity. Licensee stated that RP filed a complaint due to unpaid child care fees that she demanded from RP.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2020
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 2
Control Number 03-CC-20201117123418
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: SHEVCHUK, OLENA
FACILITY NUMBER: 343623526
VISIT DATE: 12/16/2020
NARRATIVE
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During the complaint investigation, LPA spoke to multiple parents who's children were in care of the Licensee. Interviews revealed the Licensee took good care of the children and other parents did not seem to have any concerns.

Based on the information obtained, the allegation is determined to be Unsubstantiated.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

LPA is sending this report for Licensee's final review via e-mail, also sent is a notice of site visit which shall be printed and posted for the next 30 days for parental review. Appeal rights provided.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2