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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393620407
Report Date: 12/13/2022
Date Signed: 12/13/2022 04:26:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
09/27/2022 and conducted by Evaluator Mariya Melnichuk
COMPLAINT CONTROL NUMBER: 53-CC-20220927133239
FACILITY NAME:ANDREWS, TANYAFACILITY NUMBER:
393620407
ADMINISTRATOR:ANDREWS, TANYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 910-2813
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY:14CENSUS: 1DATE:
12/13/2022
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Tanya AndrewsTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Daycare child was hit while in care

Licensee demonstrated inappropriate form of punishment
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA’s) Mariya Melnichuk and Lauren Scott met with licensee, Tanya Andrews to deliver the findings of the complaint investigation regarding the above allegations. During the course of the investigation, LPA Melnichuk conducted interviews, and obtained information pertaining to allegation. It was alleged that the licensee hit a child in care. It was also alleged the licensee demonstrated inappropriate form of punishment . LPA Melnichuk conducted interviews, and obtained information pertaining to allegation. Interviews were conducted and revealed that the daycare discipline policy does not align with the allegations. Interviews did not reveal any concerns about the quality of care.

Report continues on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: Mariya MelnichukTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
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 53-CC-20220927133239
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: ANDREWS, TANYA
FACILITY NUMBER: 393620407
VISIT DATE: 12/13/2022
NARRATIVE
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Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. LPA learned that 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 finding is UNSUBSTANTIATED.

Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


SUPERVISOR'S NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: Mariya MelnichukTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2