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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624726
Report Date: 04/03/2025
Date Signed: 04/03/2025 12:47:01 PM

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
03/05/2025 and conducted by Evaluator Tanya Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250305162600
FACILITY NAME:KAZUTINA, IRYNAFACILITY NUMBER:
343624726
ADMINISTRATOR:IRYNA KAZUTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 588-0151
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY:14CENSUS: 10DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Iryna KazutinaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Licensee is operating out of ratio
Licensee is operating out of capacity
INVESTIGATION FINDINGS:
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On Wednesday, April 3, 2025 at 11:40 AM, Licensing Program Analysts (LPAs) Tanya Washington and Lea Habtom met with Facility Representative, Iryna Kazutina to close a complaint investigation regarding allegations of facility being over capacity and out of ratio. Upon arrival, LPAs observed care and supervision of 10 preschool aged children supervised by Staff #1 and Staff #2. Licensee was on the premises of the facility grounds feeding chickens.

It was alleged that licensee is operating over capacity and ratio specified on the license. Throughout the course of the investigation, LPA conducted observations, two unannounced inspections, reviewed facility records and interviewed licensee, licensee's assistants, and some parents. Interviews with licensee, licensee's assistants, and parents did not provide information to support the allegations, and LPA observed the facility to be in compliance with capacity and ratio regulations during both inspections.

Report continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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 2
Control Number 03-CC-20250305162600
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: KAZUTINA, IRYNA
FACILITY NUMBER: 343624726
VISIT DATE: 04/03/2025
NARRATIVE
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Based on the lack of supporting evidence, the finding for the above allegations are UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation either did nor did not occur.

Exit interview conducted and report was reviewed with the Licensee Iryna Kazutina. A notice of site visit was given and must remain posted for 30 days. LPA provided licensee with appeal rights.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2