343623597-7-14-2021-03-CC-MMAA-C5DUXU-20210729155852

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623597
Report Date: 07/14/2021
Date Signed: 07/14/2021 02:10:57 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
06/04/2021 and conducted by Evaluator Jan Hoshida

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210604120802

FACILITY NAME:	VOICOVA, MARIA		FACILITY NUMBER:	343623597
ADMINISTRATOR:	VOICOVA, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 273-2741
CITY:	RANCHO CORDOVA	STATE: CA	ZIP CODE:	95742
CAPACITY:	14	CENSUS: 6	DATE:	07/14/2021
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Maria Voicova		TIME COMPLETED:	02:25 PM

ALLEGATION(S):

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Child sustained injuries while in care.

INVESTIGATION FINDINGS:

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On Wednesday, 07/14/2021 at 1:05pm, Licensing Program Analyst (LPA) Jan Hoshida made an unannounced inspection of the facility and met with Licensee Maria Voicova to deliver findings and conclude the complaint investigation of the above allegation. Upon arrival, LPA observed six children with Licensee.

It was alleged that child sustained injuries while in care.

During the investigation, LPA conducted a health and safety inspection of the facility, conducted interviews with pertinent parties, and observed routines among children and Licensee. LPA obtained documents, information, and pictures related to the complaint allegations.

REPORT CONTINUED ON NEXT PAGE

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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-20210604120802

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: 07/14/2021

NARRATIVE

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Licensee stated that when a child gets hurt at the family child care home, Licensee will comfort them, give them a hug or ice pack, and will communicate with the parents about the incident during pick up. Licensee stated that if children have a disagreement, she will separate them, and talk to each of the children about what happened. Licensee stated that she maintains good communication with her day care families about the daily activities of their children.

Four out of five adults interviewed did not express complaints or concerns regarding the care and supervision of their children and were happy with the care that their children are receiving. Four out of five adults appreciated the level of communication that they were receiving from Licensee regarding their child’s day at the day care and that their children have not gotten hurt at the day care.

Due to conflicting information obtained through interviews and documentation, 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 allegation is UNSUBTANTIATED.

Report reviewed with Licensee and copies were provided. Notice of Site Visit was issued and Licensee understands that it must remain posted for 30 days. Appeal Rights were also provided and discussed.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

LIC9099 (FAS) - (06/04)

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