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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624383
Report Date: 11/02/2023
Date Signed: 11/02/2023 10:11:05 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
09/05/2023 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20230905141215
FACILITY NAME:KASHIRSKAIA, MARGARITAFACILITY NUMBER:
343624383
ADMINISTRATOR:KASHIRKAIA, MARGARITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 340-5508
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:14CENSUS: 10DATE:
11/02/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Margarita KashirkaiaTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Licensee hit child in care
Licensee used unusual form of punishment with child in care
Licensee spoke inappropriately to child in care
Licensee did not provide supervision to children in care
Licensee did not reside in the facility
Unqualified staff provided care and supervision to children in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Soleil Marx and Jennifer Velasco met with Facility Representative, Licensee Margarita Kashirkaia (Licensee), for the purpose of conducting a complaint investigation inspection and delivering findings for the above allegations. The purpose of the inspection was explained to Licensee.

During the investigation, LPA observed care, reviewed relevant documentation, and interviewed staff, children, and witnesses. Witness statements, LPA observations, and/or document reviews failed to corroborate the allegations, addressed individually. It was alleged Licensee hit a child. Though witnesses stated sometimes children hit each other, there was no corroborating evidence that Licensee or other staff hit a child. It was alleged Licensee used an unusual form of punishment with child in care; specifically, that Licensee made a child sit in a time-out for an excessively long time. There was no corroborating evidence that Licensee or staff made a child sit in a time-out frequently or for an excessively long time.

Page one of two
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023
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-20230905141215
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KASHIRSKAIA, MARGARITA
FACILITY NUMBER: 343624383
VISIT DATE: 11/02/2023
NARRATIVE
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It was alleged Licensee did not provide supervision to children in care. There was no corroborating evidence that Licensee failed to supervise children in care. It was alleged Licensee did not reside in the facility. There was no corroborating evidence that Licensee did not reside in the home or that Licensee failed to be present in the home during at least 80% of facility operating hours. It was alleged that unqualified staff provided care and supervision to children in care. All adult staff in the facility were cleared and associated to the facility, had current CPR/First Aid certification, and had current Mandated Reporter training. These are the only qualifications for Family Child Care Home (FCCH) assistants, though several staff in this facility had ECE/CD units, per transcripts in staff files.

Although the allegations may be true and/or may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Licensee Margarita Kashirkaia. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2