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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700153
Report Date: 09/21/2023
Date Signed: 09/21/2023 11:54:25 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2023 and conducted by Evaluator Lisa Clayton
COMPLAINT CONTROL NUMBER: 58-CC-20230921095743
FACILITY NAME:PASECHNIKOVA FAMILY CHILDCAREFACILITY NUMBER:
195700153
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
09/21/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:SVETLANA PASECHNIKOVA. PROVIDERTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
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5
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8
9
UNLICENSED CARE
INVESTIGATION FINDINGS:
1
2
3
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5
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8
9
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13
On 09/21/2023 LPA Clayton arrived unannounced at 23300 Bassett St., West Hills, CA 91307.
LPA Clayton was greeted by Zulfiia Sabirova, fingerprint cleared assistant. Applicant Svetlana Pasechnikova was also present. LPA observed 5 children in care at the 23300 Bassett St. address.

Provider currently has an open license at 23302 Bassett St. West Hills, CA 91037, and a pending Change of Location application for the 23300 Bassett St. address. Provider acknowledged that she was aware that she is not licensed to care for the children at the 23300 Bassett St address.

LPA Clayton toured the inside of the 23302 Basset St. address and observed childcare furniture and toys in place. LPA Clayton reminded applicant that because she no longer lives at the 22302 Bassett St. address, she can no longer provide care at that address. Applicant acknowledged understanding.

Based on LPA’s observation of children in care, the above allegation is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Notice of Operation in Violation of the Law (NOV) LIC 195 was provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
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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