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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483007592
Report Date: 01/30/2025
Date Signed: 01/30/2025 12:18:35 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/19/2024 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20241219171012
FACILITY NAME:VAEZINIA, VICTORIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
483007592
ADMINISTRATOR:VAEZINIA, VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 452-8888
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:14CENSUS: 8DATE:
01/30/2025
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Lyubov MailovaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
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9
Licensee spoke inappropriately in the presence of day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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12
13
Licensing Program Analyst (LPA) Robert Maciel made an unannounced Complaint Investigation visit and met with the facility representative, Lyubov Mailova (S3). It is alleged that the Licensee spoke inappropriately in the presence of a day care child, specifically one child during an interaction with a parent in the front of the facility.

During today’s visit facility was toured and records were reviewed. From 12/26/24 to 1/30/25, LPA interviewed adults, the Licensee, and staff (A1, LS, S1, S2, and S3) and reviewed video footage from faciltiy cameras which did not corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Exit interview conducted and report was reviewed with the facility representative, Lyubov Mailova (S3). A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
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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