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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343626783
Report Date: 10/09/2025
Date Signed: 10/09/2025 03:39:18 PM

Substantiated


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
10/08/2025 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251008131023
FACILITY NAME:KONTSEMAL, ANASTASIIAFACILITY NUMBER:
343626783
ADMINISTRATOR:KONTSEMAL, ANASTASIIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 837-4820
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:14CENSUS: 6DATE:
10/09/2025
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Anastassia KonstemalTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Provider left a sleeping day care child in a stroller for an extended period of time
INVESTIGATION FINDINGS:
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On Thursday, October 9, 2025, Licensing Program Analyst (LPA) Lea Habtom arrived at the facility at 12:55 pm and met with the 2 assistants. The 2 assistants were supervising 1 infant and 4 preschool children. At 1:12 pm, 2 school age children arrived and 1 child was picked up leaving the census to 6 children being supervised by the 2 assistants. At 1:16 pm, the licensee arrived. LPA discussed the purpose of today’s inspection with licensee is to open and close a complaint. All staff present today have fingerprint clearances and associations.

During the investigation, LPA Habtom toured the facility, conducted observations and interviewed those pertinent to the investigation. It was alleged that staff left a sleeping day care child in a stroller for an extended period. Interviews with the licensee, staff and reporting party disclosed that an infant was placed to sleep in a stroller in the backyard before being transitioned into a pack and play. Supporting documentation shows the infant asleep in a stroller. Staff and the licensee stated the infant was asleep in the stroller for about 10 minutes.

Report continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
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 3
Control Number 03-CC-20251008131023
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: KONTSEMAL, ANASTASIIA
FACILITY NUMBER: 343626783
VISIT DATE: 10/09/2025
NARRATIVE
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Based on interviews, the allegation staff left a sleeping day care child in a stroller for an extended period is to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.

This report was reviewed with the licensee, Anastasiia Kontsmeal. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.

1 Type A deficiency cited on 9099-D.

LPA Lea Habtom informed licensee Anastasiia Kontsmeal that this report dated October 9, 2025, documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the licensee Anastasiia Kontsmeal to provide a copy of this licensing report dated October 9, 2025, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20251008131023
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: KONTSEMAL, ANASTASIIA
FACILITY NUMBER: 343626783
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/10/2025
Section Cited
CCR
102425(i)
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Infant safe sleep 102425(i): If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement was not met as evidenced by supporting
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The licensee states they will not use a stroller or any other items other than a crib or pack and play to place infants to sleep. The licensee states they will train infants to sleep in the crib or pack and play. The licensee agreed to provide a training to staff regarding safe sleep environments and placing infants in the crib to sleep. The licensee will email
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documentation showing
an infant asleep in a stroller and staff interviews that stated the child was sleeping in the stroller for about 10 minutes before being transferred into a pack and pack which is an immediate health and safety risk to the children in care.
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environments and will email LPA L. Habtom the training material and the sign in sheet for staff to clear the plan of correction.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
LIC9099 (FAS) - (06/04)
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