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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313624154
Report Date: 07/20/2023
Date Signed: 07/20/2023 02:48:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2023 and conducted by Evaluator Katrina Owens
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230710130611
FACILITY NAME:FANHA, NATALIYAFACILITY NUMBER:
313624154
ADMINISTRATOR:FANHA, NATALIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 273-2493
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:14CENSUS: 11DATE:
07/20/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Olha Naraivska and SolomiiaFeshanets- AssistantsTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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OTHER: Provider does not reside in day care home.
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst Owens.
LPA Owens met with Assistants Olha Naraivska and Solomila Feshanets. Present at time of inspection were two assistants and 11 day care children. Licensee was not present at the facility when LPA arrived; licensee arrived shortly after LPA.

The purpose of the inspection is to close a complaint investigation that was originally opened on July 12, 2023. Based on interviews and tour of the facility licensee resides predominately at another residence. The preponderance of evidence standard has been met during this investigation, therefore the above allegation is found to be SUBSTANTIATED. Violations of the California Code of Regulations, Title 22, Division 12 & Chapter 3 are being cited on the attached LIC9099D.

This is a Type A deficiency, hence AB633 Notification Applies: Upon receipt of this report, the report must be posted along with the notice of site visit for 30 days for parents to view. Licensee must inform the parents/guardians of children in care at the facility and to the parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC 9224 Acknowledgement of Receipt of Licensing Reports.

Exit interview conducted.
Notice of site visit posted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
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 2
Control Number 03-CC-20230710130611
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: FANHA, NATALIYA
FACILITY NUMBER: 313624154
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/21/2023
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home:
The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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Licensee stated she will spend more time at the facility. She will write a statement and submit to CCLD stating she understands and will adhere to regulatory requirements.
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This requirement is not met as evidence by licensee stated she resides predominately at another residence. Her absence from the facility exceeds 20 percent of the hours the facility is providing care. This is an immediate risk to children.
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LPA explained and gave a copy of the LIC 9224 at time of inspection.
If POC is not corrected on or before the POC date of 7/21/2023 a civil penalty may be accessed.
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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: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2