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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093623907
Report Date: 05/25/2022
Date Signed: 05/27/2022 09:02:25 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2022 and conducted by Evaluator Michelle Pascual
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220506105125
FACILITY NAME:LAKE TAHOE PRESCHOOLFACILITY NUMBER:
093623907
ADMINISTRATOR:VAZQUEZ-ALAMILLO, LISETFACILITY TYPE:
850
ADDRESS:2111 SOUTH AVENUETELEPHONE:
(530) 416-2324
CITY:LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:49CENSUS: 39DATE:
05/25/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Stefanie ToutolminTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Record Keeping- Facility staff are withholding records from authorized representative
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 01:00 PM on May 25th, 2022, Licensing Program Analyst (LPA) Michelle Pascual met with Licensee Stefanie Toutolmin regarding the above allegation. During today’s visit LPA noted the census as 39 supervised by 4 staff members. It was alleged that facility was withholding documentation from authorized representatives.

Throughout the course of the investigation, LPA Arianna Manabat interviewed the Reporting Party (RP), Licensee, staff, and parents. LPA received conflicting information regarding this allegation. LPA Manabat observed correspondence between the authorized representative and the Licensee, which shows the appropriate documents were provided on Wednesday May 11, 2022 at 9:43 AM. Licensee was in ratio at the time and was not physically able to give the documentation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
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-20220506105125
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LAKE TAHOE PRESCHOOL
FACILITY NUMBER: 093623907
VISIT DATE: 05/25/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During this interaction, the Licensee offered to deliver them via email at a later time. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Stefanie Toutolmin

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2