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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622895
Report Date: 07/26/2022
Date Signed: 07/26/2022 02:59:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/08/2022 and conducted by Evaluator Michelle Pascual
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220608091512
FACILITY NAME:BEREZENKO, IRINAFACILITY NUMBER:
343622895
ADMINISTRATOR:BEREZENKO, IRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 752-9810
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: 6DATE:
07/26/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Irina BerezenkoTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Physical Plant- Home is unkept and floors are dirty

Personal Rights- Licensee did not meet a daycare child's diapering needs while in care
INVESTIGATION FINDINGS:
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On July 26th, 2022 at approximately 01:00 PM, LPA Pascual met with Licensee Irina Berezenko, to deliver complaint findings for the allegations above. Upon arrival, LPA observed 06 children in care.

Reporting Party alleged that a child in care was not tended to regarding diapering needs and the child also had a dirty shirt after crawling on their tummy while on the floor. Throughout the course of the investigation, LPA interviewed parents and the licensee to obtain further information. LPA also verified all adults have been cleared to work in the facility. LPA made observations of the facility and was unable to validate a dirty and unkept house. Furthermore, while interviewing parents, LPA was unable to corroborate the allegations as parents stated the house was sanitary and had no concerns. Parents also stated that with regards to diapering needs they felt their children were cared for properly.

Based on the information obtained, the allegations are determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it. Notice of site visit was provided and shall remain posted for 30 days for parental review.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
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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