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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455405525
Report Date: 11/19/2021
Date Signed: 11/23/2021 08:41:04 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/23/2021 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20210723163152
FACILITY NAME:RAGULSKY, LESLIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455405525
ADMINISTRATOR:RAGULSKY, LESLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 410-4412
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:14CENSUS: 2DATE:
11/19/2021
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Leslie RagulskyTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Provider administered melatonin to day care children without parent's consent
INVESTIGATION FINDINGS:
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On 11/19/21 at 11:15am LPA Mendez made an unannounced complaint inspection and met with licensee Leslie Ragulsky. It was alleged that Provider administered melatonin to day care children without parent's consent.
The licensee was interviewed on 7/30/21 at 9:54am and denied the following Licensee denied the allegation of giving melatonin to day care children without parent’s consent. Licensee showed LPA Mendez the cabinets in the kitchen and LPA Mendez did not observe any melatonin.
LPA Mendez interviewed staff (S1) on 7/30/21, LPA Mendez asked S1 if they have witnessed licensee give melatonin to daycare children and S1 stated no.
LPA Mendez interviewed fifteen children on 7/29/21 and 9/22/21. Eleven out of fifteen were able to be interviewed. Three out of the fifteen children had stated licensee gave them melatonin.
(continued on 9099C)

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
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 4
Control Number 13-CC-20210723163152
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RAGULSKY, LESLIE FAMILY CHILD CARE HOME
FACILITY NUMBER: 455405525
VISIT DATE: 11/19/2021
NARRATIVE
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LPA Mendez interviewed children (C1-C3) had stated that licensee gave children melatonin and referred to them as sleepy gummies. C2 and C3 stated that licensee gave them sleepy gummies when they came over to daycare. C1 had witnessed licensee give C2 and C3 melatonin gummies when they did not want to nap. LPA Mendez asked C2 and C3 if they had a choice and they stated that they had to take them.
LPA Mendez interviewed seven parents on 7/29/21, 8/19/21,8/25/21 and 9/22/21. LPA Mendez asked parents P1-P7 if their children were given melatonin and 1 out 7 parents stated that licensee gave children melatonin without their consent.
Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 13-CC-20210723163152
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: RAGULSKY, LESLIE FAMILY CHILD CARE HOME
FACILITY NUMBER: 455405525
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/19/2021
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Licensee will read and review Title 22 Regulations regarding personal rights and will submit a plan of correction by 11/22/21. All parents will be required to sign LIC 9224
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To be free from corporal or unusual punishment,but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
Based on evidence this was not met, licensee gave melatonin to children without consent.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/23/2021 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20210723163152

FACILITY NAME:RAGULSKY, LESLIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455405525
ADMINISTRATOR:RAGULSKY, LESLIEFACILITY TYPE:
810
ADDRESS:3949 ROESNER AVE.TELEPHONE:
(530) 410-4412
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:14CENSUS: 2DATE:
11/19/2021
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Leslie RagulskyTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Day care child walked in to provider's bedroom and saw naked male adult.
INVESTIGATION FINDINGS:
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On 11/19/21 at 11:15am Licensing Program Analyst (LPA) Mendez made an unannounced complaint inpsection and met with licensee Licensee Leslie Ragulsky. It was alleged that day care child walked into provider's bedroom and saw a naked male adult.
The licensee was interviewed on 7/30/21 at 9:54am and denied the following allegations. Licensee stated the following allegation was not true. Licensee denied the allegation of the child walking into provider's bedroom. LPA Mendez addressed if rooms were inaccesible to children, licensee stated that bedroom is not locked and bedrooms were accesible, there is no child lock on the bedroom door knobs.
Child (C1) stated that C1 walked into licensee's bedroom as they were looking for licensee when C1 opened the door, C1 stated they had gone to look for licensee and saw a naked male adult in the bedroom.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4