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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409362
Report Date: 01/29/2025
Date Signed: 01/29/2025 11:46:26 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/21/2024 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20241121171302
FACILITY NAME:SAFANIEV, NATALIEFACILITY NUMBER:
073409362
ADMINISTRATOR:SAFANIEV, NATALIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 652-2804
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:14CENSUS: 6DATE:
01/29/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Natalie SafanievTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
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5
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8
9
Licensee does not ensure that day care children are adequately supervised while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA D. Campos met with licensee Natalie Safaniev to deliver the findings of a complaint investigation. Present for this visit was the licensee, and 1 assistant supervising 6 children in care consisting of 4 infants and 2 toddlers. During the course of the investigation interviews and observations were conducted. An incident occurred when two children began pulling on a bag which resulted in one child accidentally knocking over another child who was standing behind them resulting in an injury to the child who fell onto a wooden toy. Interviews disclosed that although the incident was observed by the assistant, they could not react fast enough to prevent the injury from happening. Interviews did not disclose concerns with supervision by other families in care. Based on the investigative findings, there was no evidence to determine whether or not the licensee does not ensure that day care children are adequately supervised while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is deemed unsubstantiated at this time.

Exit interview conducted with licensee Natalie Safaniev.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
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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