343623597-10-28-2020-03-CC-BENN-BUZ33Q-20201102165352

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623597
Report Date: 10/28/2020
Date Signed: 10/28/2020 03:28:34 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
09/29/2020 and conducted by Evaluator Jan Hoshida

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200929120041

FACILITY NAME:	VOICOVA, MARIA		FACILITY NUMBER:	343623597
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	10/28/2020
		ANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Maria Voicova		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Personal Rights: Day care child's needs are not being met.

INVESTIGATION FINDINGS:

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On 10/28/20 at 12:30pm, due to the COVID-19 pandemic, Licensing Program Analyst (LPA), Jan Hoshida, conducted a tele-inspection via FaceTime and met with Licensee, Maria Voicova, to deliver findings and conclude the complaint investigation of the above allegation. There were 5 day care children present with Licensee and Licensee's assistant during the inspection.

The complainant alleged that day care child’s needs were not being met because the child was heard crying throughout the day. During the investigation, LPA conducted a health and safety tele-inspection of the home, conducted interviews with pertinent parties and observed care and supervision of children by Licensee.

REPORT CONTINUED ON NEXT PAGE

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20200929120041

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: VOICOVA, MARIA	FACILITY NUMBER: 343623597
	VISIT DATE: 10/28/2020

NARRATIVE

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Licensee stated that she had a new day care child that was crying throughout the day which she was concerned about. Licensee stated that she tried different tactics to try to comfort the child and informed the parent about the situation. Parent stated that they were informed from the Licensee that their child was crying throughout the day, that their child didn’t seem to adjust to the day care, but they did not have overall concerns about the health and safety of their child during care at the facility.

Due to conflicting information obtained through interviews, LPA was unable to determine if a violation occurred.

Based on the investigation conducted, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. As a result, the allegations are UNSUBSTANTIATED.

An exit interview was conducted and Notice of Site Visit was provided to be posted for 30 days.

Facility evaluation report was emailed to Licensee and an email verification of receipt of report will be used in lieu of a signature on this report.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2020

LIC9099 (FAS) - (06/04)

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