<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407809
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:59:07 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/05/2024 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20240205163400
FACILITY NAME:KRASTEVA, ANIFACILITY NUMBER:
073407809
ADMINISTRATOR:KRASTEVA, ANIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 360-5075
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:14CENSUS: 7DATE:
03/07/2024
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Ani KrastevaTIME COMPLETED:
04:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not live in the home
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cherie Acosta and Dealia Frison conducted an unannounced visit in regards to the above allegation.
It was reported by another party that the licensee does not reside in the home. During the visit LPAs toured the home. LPAs observed the family's sleeping areas, clothing and personal hygiene items located on the second floor of the home.
Licensee is aware that she must reside in the home as a condition of licensure.

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, therefore the allegation is deemed unsubstantiated.
Notice of Site Visit was provided and must be posted for 30 days.
Report was reviewed with Ani Krasteva.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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 1