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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414002194
Report Date: 11/21/2022
Date Signed: 11/21/2022 11:32:59 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/14/2022 and conducted by Evaluator Andrea Medlin
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20221114130309
FACILITY NAME:TSYURA, IRINAFACILITY NUMBER:
414002194
ADMINISTRATOR:TSYURA, IRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 722-5458
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY:14CENSUS: 9DATE:
11/21/2022
UNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Irina Tsyura, Elena Stranadko, Liudmyla DmytriievaTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Licensee handled child in a rough manner
Licensee left child unsupervised for an extended period of time
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Andrea Medlin met with facility representatives for this complaint investigation. Purpose of the visit explained. There are 9 children present during the visit; 8 preschool aged and 1 infant. LPA conducted interviews with staff, licensee, and attempted to conduct interviews with children. A copy of children's roster obtained during the visit. The children that LPA attempted to interview did not meet the guidelines to qualify for giving statements. The daycare operates Monday-Friday 7:30AM-6:00PM and licensee mostly accepts children from age 18 months through entry to Kindergarten. Based on information obtained, Licensee states she and her two helpers are always here during daycare hours and are in ratio. One helper (S2) works here full time and other helper (S3) works here Monday-Friday 7:30AM-2:00PM. Licensee states she is normally here all the time during daycare hours but if has to step out (run an errand, etc) she still has her two helpers here. Based on interviews, it was denied that children are ever left unsupervised for extended periods of time nor that any child is handled roughly. LPA asked what the discipline policy is for daycare children and was told children are to sit separately from the children (time out) with a staff person until ready to rejoin the group.
(Continued on next page 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
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 05-CC-20221114130309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: TSYURA, IRINA
FACILITY NUMBER: 414002194
VISIT DATE: 11/21/2022
NARRATIVE
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Due to a lack of sufficient available information regarding specifics to the complaint, there is not enough evidence to prove whether their was lack of supervision or a violation of children's personal rights.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

This report is reviewed with facility representative and a copy of this report must be made available for public review upon request.

Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2