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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625666
Report Date: 07/23/2024
Date Signed: 07/23/2024 02:25:17 PM

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
07/15/2024 and conducted by Evaluator Michelle Perez
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240715163839
FACILITY NAME:KASHIRSKII, ANDREIFACILITY NUMBER:
343625666
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
07/23/2024
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Andrei KashirskiiTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Physical Plant-

Licensee does not ensure that the facility provides safety and comfort for the day care children while in care.

Facility refrigerator is in disrepair.
INVESTIGATION FINDINGS:
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On July 23rd, 2024 at approximately 12:10 PM, Licensing Program Analysts (LPAs) Michelle Perez and Tanya Washington, arrived to the facility for the purpose of a complaint investigation.
Upon arrival there were no children in care with the licensee.

It was alleged that the licensee did not ensure the facility provided safety and comfort for daycare children due to the air conditioner and the refrigerator in disrepair during the week of July 8, 2024.

During the investigation process, observations and an interview with the licensee, LPAs found that the air conditioner was not cooling the facility efficiently for a period of three days, and the refrigerator was not working efficiently. LPAs found that the licensee informed parents of the issues, and purchased a portable air conditioning unit, Licensee was utilizing three ceiling fans and had outside water play for children to keep them cool. Licensee had the air conditioner repaired within a couple of days and replaced the refrigerator within one day. LPAs did not find that the health of children was compromised.
Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
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 2
Control Number 03-CC-20240715163839
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: KASHIRSKII, ANDREI
FACILITY NUMBER: 343625666
VISIT DATE: 07/23/2024
NARRATIVE
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Upon touring the facility, LPAs observed the air conditioner to be properly working as well as the refrigerator.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore the allegations are unsubstantiated.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2