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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418111
Report Date: 11/07/2023
Date Signed: 11/07/2023 09:47:10 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/05/2023 and conducted by Evaluator Briana Plumboy
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20231005162328
FACILITY NAME:MASOOD, SOFIA & SOHNIFACILITY NUMBER:
013418111
ADMINISTRATOR:MASOOD, SOFIA & SOHNIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 825-3099
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:14CENSUS: 12DATE:
11/07/2023
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Sofia Masood- LicenseeTIME COMPLETED:
09:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Day care child sustained injury due to licensee neglect
Personal Rights- Licensee used inappropriate forms of punishment for day care children
Personal Rights- Licensee handled day care child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/7/23, Licensing Program Analyst (LPA) Briana Plumboy met with licensee Sofia Masood to deliver the finding of an complaint filed against the family childcare home regarding the allegations mentioned above. Present for the inspection was both licensees, fingerprint cleared and associated assistant Monowara Begum and 12 children in care.
Based on interviews conducted, 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 allegation is UNSUBSTANTIATED. The children mentioned in the allegations were not able to be interviewed during the investigation (not due to the childcare). A notice of site visit was given and must remain posted for 30 days. Appeal Rights were given and discussed. An exit interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
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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