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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 574500899
Report Date: 05/15/2025
Date Signed: 05/15/2025 10:32:43 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
04/01/2025 and conducted by Evaluator Erwin Tjhia
COMPLAINT CONTROL NUMBER: 53-CC-20250401130837
FACILITY NAME:VANTINE, KERSTYNFACILITY NUMBER:
574500899
ADMINISTRATOR:VANTINE, KERSTYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 416-0147
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:14CENSUS: DATE:
05/15/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kerstyn VantineTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider operates over the capacity.
Provider operates out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Erwin Tjhia met with Licensee, Kerstyn Vantine to deliver findings of the complaint investigation regarding the above allegations.

It was alleged that Provider operates over the capacity and out of ratio. Interview with staff and parent revealed that there were always at least two to three staff supervising no more than 12 to 14 children at maximum capacity. LPA’s observations during two separates visits at different times revealed that facility was always in ratio and was not over capacity.

Based on the information obtained throughout the course of this investigation the above allegations, LPA Tjhia determined that the allegations were found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted. A notice of site visit was provided 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: Karyn Guerra
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
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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