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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622238
Report Date: 09/17/2026
Date Signed: 09/17/2026 10:51:14 AM

Unsubstantiated


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
06/25/2026 and conducted by Evaluator Loraine Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260625083807
FACILITY NAME:VOROBYEV, TATYANAFACILITY NUMBER:
343622238
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:0CENSUS: 11DATE:
09/17/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Tatyana VorobyevTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Licensee is operating over capacity
INVESTIGATION FINDINGS:
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2
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5
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13
Licensing Program Analyst (LPA) Loraine Perez met with Facility Representative, Tatyana Vorobyev (Licensee), for the purpose of conducting an unannounced subsequent complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to the Licensee.
During today's inspection, LPA observed care, toured the facility and reviewed relevant documentation. Present is Licensee, one Assistant, one volunteer, and Licnesee's adult son.

Witness statements, LPA observations, and document reviews failed to corroborate the allegation. At inspections on 06/30/2026 and 09/17/2026 the facility was within capacity.
Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Tatyana Vorobyev. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
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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