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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624087
Report Date: 06/10/2025
Date Signed: 06/10/2025 04:41:57 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
04/23/2025 and conducted by Evaluator Loraine Perez
COMPLAINT CONTROL NUMBER: 03-CC-20250423151530
FACILITY NAME:MIKHALCHUK, VERAFACILITY NUMBER:
343624087
ADMINISTRATOR:MIKHALCHUK, VERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 595-8407
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: 13DATE:
06/10/2025
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Vera MikhalchukTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee operated beyond the terms of the license.
Licensee is not following safe sleep guidelines for an infant in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Loraine Perez met with Licensee Vera Mikhalchuk, for the purpose of conducting an unannounced complaint investigation inspection to deliver findings pertaining to the above allegations Licensee operated beyond the terms of the license and Licensee is not following safe sleep guidelines for an infant in care. The purpose of today's inspection was explained to Licensee

During today's inspection, LPA observed care, and reviewed relevant documentation.
Based on LPA witness statements, and record review, the facility exceeded the capacity of a large license by caring for more than 12 children without any school age children. Licensee did not move a sleeping infant to a crib after the infant fell asleep in a stroller.
The preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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 5
Control Number 03-CC-20250423151530
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: MIKHALCHUK, VERA
FACILITY NUMBER: 343624087
VISIT DATE: 06/10/2025
NARRATIVE
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The Licensee was informed that this report dated 06/10/2025 documents two Type A citation and must be posted for parental review for 30 consecutive days. The facility must also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in each child's file for verification.

Exit interview was conducted and a copy of this report was given to the Licensee Vera Mikhalchuk. Notice of site was given and must remain posted for parental review for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 03-CC-20250423151530
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: MIKHALCHUK, VERA
FACILITY NUMBER: 343624087
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/11/2025
Section Cited
CCR
102416.5(d)(2)
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For a Large FCCH, maximum number of children for whom care may be provided... when there is an assistant ...,..., shall be..:More than 12 and up to 14 children only if the criteria in Section 1597.465 of the Health and Safety Code are met. This requirement is not met as evidenced by:
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Licensee and LPA reviewed capacity requirements for a Large FCCH. Licensee revised schedules of families in attendance to ensure remaining in compliance.
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Based on witness statement, and interview the licensee did not comply with the section cited above, Licensee provided care for 14 children when none were enrolled in TK or above and at least age 6, which poses an immediate risk to the health and safety of persons in care
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Type A
06/11/2025
Section Cited
CCR
102425(i)
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If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement is not met as evidenced by:
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Licensee shall remove stroller from facility. LPA shall conduct a Plan of Correction visit
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Based on witness statement, and interview the licensee did not comply with the section cited above, Licensee did not move an infant that fell asleep before being placed in a crib which poses an immediate risk to the health and safety of persons in care.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
04/23/2025 and conducted by Evaluator Loraine Perez
COMPLAINT CONTROL NUMBER: 03-CC-20250423151530

FACILITY NAME:MIKHALCHUK, VERAFACILITY NUMBER:
343624087
ADMINISTRATOR:MIKHALCHUK, VERAFACILITY TYPE:
810
ADDRESS:5428 HARSTON CTTELEPHONE:
(916) 595-8407
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: 13DATE:
06/10/2025
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Vera MikhalchukTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee is using a baby walker for an infant in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Loraine Perez met with Licensee Vera Mikhalchuk, for the purpose of conducting an unannounced complaint investigation inspection to deliver findings pertaining to the above allegation Licensee is using a baby walker for an infant in care. The purpose of today's inspection was explained to Licensee

During today's inspection, LPA observed care, and reviewed relevant documentation.
Based on LPA witness statements, and record review, the facility provided a baby walker to infants that are not able to walk on their own.

The preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 03-CC-20250423151530
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: MIKHALCHUK, VERA
FACILITY NUMBER: 343624087
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
06/24/2025
Section Cited
CCR
102417(g)(10)
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A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c).

This requirement is not met as evidenced by:
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Licensee stated she shall...
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Based on record review, the licensee did not comply with the section cited above, Licensee used a baby walker with infants that were not able to walk on thier own, which poses a potential risk to the health and safety of the persons in care.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Loraine Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5