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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417529
Report Date: 09/29/2021
Date Signed: 09/29/2021 12:01:59 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/23/2021 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210723164302
FACILITY NAME:BALENKO & VASILYEV FAMILY CHILD CAREFACILITY NUMBER:
197417529
ADMINISTRATOR:BALENKO & VASILYEVFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 343-2365
CITY:TARZANASTATE: CAZIP CODE:
91356
CAPACITY:14CENSUS: 8DATE:
09/29/2021
UNANNOUNCEDTIME BEGAN:
10:21 AM
MET WITH:Tamara Balenko TIME COMPLETED:
12:17 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating over capacity
Licensee spoke inappropriately to a child in care
The facility is not clean
The facility grounds are not clean
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13

On 09/29/2021 Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced visit to Balenko & Vasilyev Family Child Care. LPA met with Tamara Balenko (licensee). LPA advised licensee the reason for the visit today is to deliver the findings of the complaint received on 07/23/2021 regarding the allegations referenced above. LPA observed 7 children and 2 adults (co-licensee).

During the investigation of Allegation 1 revealed, there is not sufficient evidence to support nor deny that the allegation occurred. LPA interviewed parents and licensee and was unable to confirm that the facility is operating over capacity, therefore the allegation is unsubstantiated

During the investigation of Allegation 2 revealed, there is not sufficient evidence to support nor deny that the allegation occurred. LPA interviewed parents and licensee and was unable to confirm that the licensee spoke inappropriately to children in care, therefore the allegation is unsubstantiated
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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 30-CC-20210723164302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BALENKO & VASILYEV FAMILY CHILD CARE
FACILITY NUMBER: 197417529
VISIT DATE: 09/29/2021
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 the investigation of Allegation 3 revealed, there is not sufficient evidence to support nor deny that the allegation occurred. Based on LPA’s observations the facility is clean and organized, therefore the allegation is unsubstantiated.

During the investigation of Allegation 4 revealed, there is not sufficient evidence to support nor deny that the allegation occurred. Based on LPA’s observations of the outside ground of the facility is clean and organized with the exception to an off limits area, therefore the allegation is unsubstantiated The off limits area is inaccessible to children that has a large amount of multiple items stored.

An exit interview was conducted with the Licensee, Tamara Balenko, in which this report was read to her. LPA provided licensee with a copy of this report, a Notice of Site Visit (LIC 9213) and Appeal rights.

SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC9099 (FAS) - (06/04)
Page: 1 of 2