483007592-1-15-2021-13-CC-MAVS-BXHMSD-20210122085146

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483007592
Report Date: 01/14/2021
Date Signed: 01/15/2021 03:22:04 PM

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
01/22/2020 and conducted by Evaluator Kirk Marks

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20200122163246

FACILITY NAME:	VAEZINA, VICTORIA FAMILY CHILD CARE HOME		FACILITY NUMBER:	483007592
ADMINISTRATOR:	VAEZINIA, VICTORIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 452-8888
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY:	14	CENSUS:	DATE:	01/14/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Licensee, Victoria Vaezinia		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Child was inappropriately touched by adult at the family child care home

INVESTIGATION FINDINGS:

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On 01/14/2021 at 9:00am Licensing Program Analyst (LPA) Kirk Marks conducted a subsequent complaint investigation inspection to the facility via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak, for the purpose of delivering complaint findings. The allegation was investigated by the Department’s Investigation Branch (IB), by investigator Tomorrow Sims. It was alleged that a child (C1) was inappropriately touched by someone at the facility.
During the investigation, Investigator Sims obtained documentation of a forensic interview conducted by local law enforcement with C1 on 1/17/2020. During the interview C1 stated licensee was the one who made inappropriate actions towards C1, but then upon further questioning C1 stated that the actions described did not really happen and that they were from a TV show instead.
(continued on page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021

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 13-CC-20200122163246

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: VAEZINA, VICTORIA FAMILY CHILD CARE HOME	FACILITY NUMBER: 483007592
	VISIT DATE: 01/14/2021

NARRATIVE

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(continued from page 1)

LPA Marks conducted a telephone interview with licensee on 8/13/2020. Licensee denied the allegation ever occurred. On 12/15/2020, LPA conducted telephone interviews with two assistants (S1 and S2) who helped to care for C1 at the home. Both assistants stated not knowing anything of the allegations that were made, saying they didn’t believe they ever happened.
Through the interviews and record review, LPA Marks and Investigator Sims were unable to determine if the child was inappropriately touched by licensee or any other adult at the facility.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation violation occurred, and the findings are unsubstantiated. An exit interview was conducted.
The Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021

LIC9099 (FAS) - (06/04)

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