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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343619113
Report Date: 03/06/2023
Date Signed: 03/10/2023 03:13:00 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, 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
08/18/2022 and conducted by Evaluator Nola Maestas
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220818160218
FACILITY NAME:MOKRUSHIN, NADIAFACILITY NUMBER:
343619113
ADMINISTRATOR:MOKRUSHIN, NADIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 684-5382
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:14CENSUS: 0DATE:
03/06/2023
UNANNOUNCEDTIME BEGAN:
03:14 PM
MET WITH:Mailed to Nadia MokrushinTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Minors engaged in inappropriate interactions while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/9/2023, Licensing staff had scheduled a meeting with Licensee Nadia Mokrushin (L1) for the purpose of delivering the finding for the above complaint allegation, but the meeting was cancelled.
The complainant alleged that minor (C1) engaged in inappropriate interactions with a former day care child (C2) while in care and under the supervision of L1 at an undisclosed time, about five years ago. The Department’s Investigation Branch (IB) assisted with the investigation. During the investigation, IB Investigator Andrew Murrow interviewed C2. C2 disclosed that C1 exposed their private area to C2 about five years ago while in care at the facility. L1 has been inactive for over a year and has not been caring for day care children, thus no other day care children were available to be interviewed. Although the allegation may or may not have happened, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is UNSUBSTANTIATED.
Two copies of the report are being mailed to L1 on today’s date, as well as appeal rights. Please sign one copy and return in the pre-stamped envelope provided. The other copy is for your records.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Nola Maestas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2023
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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