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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313617391
Report Date: 02/27/2023
Date Signed: 02/27/2023 10:32:12 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
02/13/2023 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230213100213
FACILITY NAME:MEDVECKI, VALQUIRIAFACILITY NUMBER:
313617391
ADMINISTRATOR:MEDVECKI, VALQUIRIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 412-6632
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:14CENSUS: 8DATE:
02/27/2023
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Valquiria MedveckiTIME COMPLETED:
10:40 AM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Child sustained injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/27/2023 Licensing Program Analyst (LPA) Jeremey McClain met with licensee Valquiria Medvecki for the purpose of delivering findings for a complaint investigation. Licensee’s husband was present during the inspection. LPA observed care and supervision of nine preschool aged children.

LPA investigated the allegation that a child sustained scratch injuries to their buttocks area, while in the care of the licensee. During the investigation, LPA observed licensee’s care of children, interviewed the licensee, interviewed a former assistant, and conducted interviews with parents. LPA reviewed children’s files. The evidence gathered was not substantial enough to corroborate that injuries the child sustained happened while they were in care. The preponderance of evidence standard has not been met; therefore, the allegation is determined unsubstantiated.

There were no Title 22 deficiencies resulting from the investigation. LPA reviewed this report with Licensee and provided a Notice of Site Visit that must be posted for 30 days. LPA provided Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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