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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700178
Report Date: 04/23/2024
Date Signed: 04/23/2024 02:55:05 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/19/2024 and conducted by Evaluator Jaleesa Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240319162431
FACILITY NAME:NECHAYEVA, MARINAFACILITY NUMBER:
015700178
ADMINISTRATOR:NECHAYEVA, MARINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 490-6605
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:14CENSUS: 5DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Marina MaloyanTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee has not been present in the home
INVESTIGATION FINDINGS:
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On 04/23/2024, at 12:00PM Licensing Program Analyst (LPA) Jaleesa Jackson met with Facility Representative Marina Maloyan to deliver the findings of a complaint filed against the Family Child Care Home (FCCH) regarding the allegation Licensee has not been present in the home. Present during the inspection were 4 infants and 1 preschool aged child. Licensee arrived at the home at 1:10PM.

LPA Jackson conducted interviews. Through interviews it was found that the Licensee has exceed the temporary absences of 20 percent of the hours that the facility is providing care. The allegation the Licensee has not been present in the home has been SUBSTANTIATED. Based on LPA's interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. See 9099-D for deficiency.

A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/19/2024 and conducted by Evaluator Jaleesa Jackson
COMPLAINT CONTROL NUMBER: 52-CC-20240319162431

FACILITY NAME:NECHAYEVA, MARINAFACILITY NUMBER:
015700178
ADMINISTRATOR:NECHAYEVA, MARINAFACILITY TYPE:
810
ADDRESS:5545 TILDEN PL.TELEPHONE:
(415) 490-6605
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:14CENSUS: 5DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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2
3
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5
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9
Adults in the home are smoking in the presence of the day care children
Adult in the home made inappropriate comments towards day care child
INVESTIGATION FINDINGS:
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13
On 04/23/2024, at 12:00PM Licensing Program Analyst (LPA) Jaleesa Jackson met with Facility Representative Marina Maloyan to deliver the findings of a complaint filed against the Family Child Care Home (FCCH) regarding the above allegations. Present during the inspection were 4 infants and 1 preschool aged child. Licensee arrived at the home at 1:10PM.

Based on interviews conducted, 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 allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were given and discussed. An exit interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 52-CC-20240319162431
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NECHAYEVA, MARINA
FACILITY NUMBER: 015700178
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2024
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. ...Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
This requirement is not met as evidenced by:
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Licensee is to ensure she is present at the facility per regulation. Licensee will watch the Supervising Children in Family Child Care video on ccld.childcarevideos.org. A signed statement acknowledging the understanding of this regulation to be submitted to LPA no later than 5/7/2024 via email.
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Based on interviews, the licensee did not comply with the section cited above Licensee has exceeded the 20 percent of temporary absences from the home which posed a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3